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We have encountered an unusual case of gastric carcinoidtumor.Gastroscopic examination of this 32-year-old malepatient showed a smooth protrusion at the greatercurvature of the gastric body with a central depression,identified by subsequent biopsy as carcinoma.The patienthad a normal serum gastrin level and was negative foranti-parietal cell antibody.Histological examination of theresected gastric tissues showed that the tumor was acarcinoid,0.3 cm×0.3 cm in size with only one regionallymph node metastasis.We reviewed the pathogenesis,clinical presentation,diagnosis and treatment of gastriccarcinoids and raise the possibility of being a lymph vessel-related metastasis even for a minute carcinoid tumor.Sentinel lymph node biopsy is recommended for surgeryof minute carcinoid tumors.
We have encountered an unusual case of gastric carcinoid tumor. Gastroscopic examination of this 32-year-old male patient showed a smooth protrusion at the greater curvature of the gastric body with a central depression, identified by subsequent biopsy as carcinoma. Patienthad a normal serum gastrin level and was negative foranti-parietal cell antibody. Histological examination of there tumor was acarcinoid, 0.3 cm × 0.3 cm in size with only one regionallymph node metastasis. We reviewed the pathogenesis, clinical presentation, diagnosis and treatment of gastriccarcinoids and raise the possibility of being a lymph vessel-related metastasis even for a minute carcinoid tumor. Sentinel lymph node biopsy is recommended for surgery of minute carcinoid tumors.