Carcinoid tumor of the stomach

: A 49-year-old female complaining of hematemesis was examined by emergency endoscopy. Multiple gastric erosions and ulcers which had healed after 6 weeks, except for one ulcer, were found. A biopsy of this unhealed ulcer revealed gastric carcinoma. Enucleation of the tumor was performed because of multiple metastases to the liver, lung and the lymph nodes. The high serum alpha-fetoprotein level (800 ng/ml) and the size of a coin lesion in an X-ray film of the chest before the enucleation decreased post- operatively.