J Korean Gastric Cancer Assoc.  2007 Jun;7(2):102-106.

Operative Treatment of Gastric Carcinoid Tumor Presenting as Multiple Polyps: A Case Report

• Ahn SH
• Kim JW
• Lee IK
• Lee HJ
• Kim WH
• Lee KU
• Yang HK

Abstract

Gastric carcinoid tumor is a neoplasm that arises from enterochromaffine-like (ECL) cells in the gastric fundus. It is a rare disease that comprises less than 2% of all gastric neoplasms; however its incidence has been recently increasing. We experienced one case of gastric carcinoid tumor that was revealed to be multiple polypoid lesions. A 29-year-old female patient visited a hospital three years ago due to syncope. The blood hemoglobin was measured as 6.0 g/dl. Gastroscopy revealed multiple polypoid lesions with bleeding; therefore endoscopic clipping was performed. The polyps were diagnosed as carcinoid tumor via endoscopic biopsy. She was transferred to our hospital because of persistent iron deficiency anemia that was caused by bleeding at the gastric polyps. Gastroscopy revealed more than twenty various-sized polypoid lesions from the mid-body to the antrum. The blood hemoglobin level was 9.0g/dl. Total gastrectomy was performed under the diagnosis of gastric carcinoid tumor with bleeding. All of the gastric polyps were diagnosed as carcinoid tumors, and any metastasis to the regional lymph nodes was not found. Eighteen months after operation, the blood hemoglobin was increased to 12.8g/dl with no evidence of recurrence. Surgical resection should be considered for treating gastric carcinoid tumor with continuous bleeding.

Keyword

Gastric carcinoid tumor; Anemia; Total gastrectomy

MeSH Terms

Adult
Anemia
Anemia, Iron-Deficiency
Biopsy
Carcinoid Tumor*
Diagnosis
Female
Gastrectomy
Gastric Fundus
Gastroscopy
Hemorrhage
Humans
Incidence
Lymph Nodes
Neoplasm Metastasis
Polyps*
Rare Diseases
Recurrence
Stomach Neoplasms
Syncope