Unusual multiple gastric carcinoids with hypergastrinemia: Report of a case

Kohei Nakata, Shinichi Aishima, Hitoshi Ichimiya, Takashi Yao, Takashi Matsuura, Mitsuru Seo, Eishi Nagai, Masayuki Okido, Masato Kato, Mitsuru Nakagaki, Masazumi Tsuneyoshi, Masao Tanaka

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Abstract

We report the case of a patient demonstrating multiple gastric carcinoids with hypergastrinemia. A 50-yearold Japanese woman was admitted to our hospital for the further examination of multiple carcinoids of the stomach with hypergastrinemia, although she was asymptomatic. However, based on our clinical examination, this case seemed to be neither type I nor II carcinoid. We performed a total gastrectomy with D1 lymph node dissection. A pathological examination showed numerous endocrine micronests, hyperplasia of the parietal cells extending to the foveolar neck region, and numerous dilated oxyntic glands fi lled with eosinophilic secretions. Many parietal cells exhibited vacuolated cytoplasms and apical snouts. Furthermore, the dilated glands at the base of the mucosa had hyperchromatic nuclei and ciliated surfaces. The postoperative serum gastrin level was soon normalized to 47 pg/ml. This is only the third reported case of multiple gastric carcinoids with hypergastrinemia due to an intrinsic abnormality in the acid secretion of the parietal cells.

Original languageEnglish
Pages (from-to)267-271
Number of pages5
JournalSurgery today
Volume40
Issue number3
DOIs
Publication statusPublished - Mar 1 2010

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All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Nakata, K., Aishima, S., Ichimiya, H., Yao, T., Matsuura, T., Seo, M., ... Tanaka, M. (2010). Unusual multiple gastric carcinoids with hypergastrinemia: Report of a case. Surgery today, 40(3), 267-271. https://doi.org/10.1007/s00595-009-4032-7