[Multiple gastric carcinoid tumors in chronic atrophic gastritis: long-term follow-up under conservative management].
A 68-year-old patient presenting with non-specific abdominal symptoms was diagnosed as having multiple gastric carcinoid tumours with H. pylori-positive chronic atrophic gastritis and hypergastrinaemia. No metastases were found. As he was inoperable due to comorbidity, conservative management was instituted. The patient was followed for 6 years without signs of tumour progression. He eventually died from an unrelated cause. This case shows that hypergastrinaemic carcinoids may follow a benign course and do not necessitate aggressive surgical management, at least in poor risk patients.
Bründler
R
R
Pathologisches Institut, Kantonsspital Luzern.
Gebbers
J O
JO
Criblez
D
D
D000368:Aged; D002276:Carcinoid Tumor / Q000473:pathology* / Q000628:therapy; D015897:Comorbidity; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005757:Gastritis, Atrophic / Q000150:complications* / Q000473:pathology*; D016481:Helicobacter Infections / Q000150:complications / Q000473:pathology; D016480:Helicobacter pylori; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000473:pathology* / Q000628:therapy*; D013274:Stomach Neoplasms / Q000473:pathology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
Multiple Magenkarzinoide bei chronisch-atropher Gastritis: Langzeitbeobachtung unter konservativer Therapie.