A Case of Multiple Pedunculated Polypoid Gastric Carcinoids.
- Author:
Su Jin JEON
1
;
Choon Wook KIM
;
Gyu LEE
;
Hoon CHO
;
Jae Hyeon MOON
;
Yeong Muk KIM
;
Joon Sang LEE
Author Information
1. Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. mdjhoon@hanmail.net
- Publication Type:Case Report
- Keywords:
Gastric carcinoid;
Pedunculated polyp
- MeSH:
Female;
Humans
- From:Korean Journal of Gastrointestinal Endoscopy
2004;29(3):133-136
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastric carcinoids usually appear as a single polypoid tumor or yellowish rounded submucosal tumor in the fundus or body of the stomach. Multiple gastric carcinoids are associated with pernicious anemia, chronic atrophic gastritis and Zollinger-Ellison syndrome. These are believed to be due to hypergastrinemia. In Korea, carcinoids usually appear as single round-based submucosal tumor or sessile polyps. Multiple pedunculated polypoid carcinoids were rarely reported. A 27-year old woman was admitted to our hospital due to melena. The endoscopy revealed multiple pedunculated polypoid lesions in the fundus and body, predominantly in Yamada type III and IV. The histopathologic examination revealed the diagnosis of gastric carcinoid tumors. Serum fasting gastrin level was normal. We report a case of multiple pedunculated polypoid gastric carcinoids without atrophic gastritis or hypergastrinemia with a review of relevant literatures.