Minute gastric carcinoid tumor with regional lymph node metastasis: a case report and review of literature.
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. The patient had a normal serum gastrin level and was negative for anti-parietal cell antibody. Histological examination of the resected gastric tissues showed that the tumor was a carcinoid, 0.3 cm x 0.3 cm in size with only one regional lymph node metastasis. We reviewed the pathogenesis, clinical presentation, diagnosis and treatment of gastric carcinoids 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.
Department of Oncologic Surgery, Sir Run Run Shaw Hospital, College of Medical Science, Zhejiang University, 3 Qingchun East Road, Hangzhou 310016, Zhejiang Province, China. jamestse@netease.com
Shu-Duo
SD
Xie
Lin-Bo
LB
Wang
Xiang-Yang
XY
Song
Tao
T
Pan
D000328:Adult; D001706:Biopsy; D002276:Carcinoid Tumor / Q000473:pathology* / Q000601:surgery*; D005773:Gastroscopy; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D013270:Stomach / Q000473:pathology; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome