Korean J Gastrointest Endosc.  2002 Mar;24(3):161-165.

A Case of Gastric Carcinoid Tumor Accompanied with Massive Bleeding

• Nam SY
• Park RY
• Lee JH
• Lee CS
• Jeoung EJ
• Jang YH
• Lim SH
• Yang DH
• No YJ
• Kim NR

Abstract

Carcinoid tumors originate from the enterochromaffin cells that are located in the gastrointestinal mucosa. Most of these tumors are asymptomatic and gastric carcinoid with massive gastrointestinal bleeding is found rarely. We experienced a case of gastric carcinoid admitted to our hospital due to melena and dizziness. The esophagogastroduodenoscopic examination revealed an ulcerofungating mass in the lower body which was thought to be a Borrmann type III adenocarcinoma. Microscopic examination of the biopsy specimens showed benign gastric ulcer without malignant cells. Repeated endoscopic biopsy revealed the same results. A computed tomographic scan of the abdomen showed a gastric mass with multiple perigastric enlarged lymph nodes. Histopathological examination of the operative specimen showed gastric carcinoid. We report a case of gastric carcinoid with massive bleeding mimicking advanced gastric cancer.

MeSH Terms

Abdomen
Adenocarcinoma
Biopsy
Carcinoid Tumor*
Dizziness
Enterochromaffin Cells
Hemorrhage*
Lymph Nodes
Melena
Mucous Membrane
Stomach Neoplasms
Stomach Ulcer