title: A case of sporadic gastric carcinoid tumor treated successfully by laparoscopy-assisted distal gastrectomy.
abstract: A 49-year-old man was referred to us for treatment of a gastric carcinoid tumor. Gastroscopy revealed a superficial elevated lesion with a central depression covered with nonspecific gastric mucosa located in the anterior wall of the gastric body. The lesion was diagnosed on biopsy as a gastric carcinoid tumor. Preoperative ultrasound and computed tomography examinations revealed a tumor confined to the gastric submucosa and without lymph node metastasis. Therefore, laparoscopy-assisted distal gastrectomy (LADG) was performed. Macroscopically, the resected specimen contained an elevated lesion measuring 0.9 x 0.8-cm with a central depression. The postoperative course was uneventful, and the patient remains free of recurrence 10 months after surgery. There are few cases of sporadic gastric carcinoid tumor successfully treated by LADG. LADG may be useful for treatment of patients with sporadic gastric carcinoid tumor and possible lymph node metastasis.
authors.affiliation: Department of Surgery I, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Oita 879-5593, Japan. ishikwa@med.oita-u.ac.jp
authors.forename: Koichi
authors.initials: K
authors.lastname: Ishikawa
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Etoh
authors.forename: Akio
authors.initials: A
authors.lastname: Shiromizu
authors.forename: Masafumi
authors.initials: M
authors.lastname: Inomata
authors.forename: Norio
authors.initials: N
authors.lastname: Shiraishi
authors.forename: Kenji
authors.initials: K
authors.lastname: Kashima
authors.forename: Seigo
authors.initials: S
authors.lastname: Kitano
mesh_terms: D001706:Biopsy; D002276:Carcinoid Tumor / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*