title: Lymph node metastasis from gastric carcinoid tumors occurring concomitantly with gastric adenocarcinomas and atrophic gastritis.
abstract: We describe a case of gastric carcinoids concomitant with gastric adenocarcinoma in a 50-year-old woman affected by atrophic gastritis. Number and size of the lesions, pathological examinations, and underlying gastric disease all indicated low-risk carcinoids. Nevertheless, when R1 gastrectomy was carried out, an unsuspected lymph node metastasis from carcinoid was found along the lesser curvature. The same occurrence is reported in several cases of the literature, which suggests that the association of gastric carcinoid to adenocarcinoma could point to the malignant nature of carcinoid, apart from underlying gastric disease and tumor characteristics.
authors.affiliation: Chirurgie Digestive Endocrinienne et Thoracique, Centre Hospitalier Regional d'Orleans, 14 Avenue de l'Hôpital, 45-067 Orléans Cedex 2, France.
authors.forename: Rocco Roberto
authors.initials: RR
authors.lastname: Pidoto
authors.forename: Arnaud
authors.initials: A
authors.lastname: Piquard
authors.forename: Fausto
authors.initials: F
authors.lastname: Famá
authors.forename: Olivier
authors.initials: O
authors.lastname: Saint Marc
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D002276:Carcinoid Tumor / Q000473:pathology* / Q000601:surgery; D005260:Female; D005743:Gastrectomy; D005757:Gastritis, Atrophic / Q000473:pathology*; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery