A RESECTED CASE OF GASTRIC CARCINOID WITH HYPERGASTRINEMIA AND LYMPHNODE METASTASIS

A 62-year-old male was admitted to the hospital because of an elevated lesion in the gastric body which was detected by X-ray at a medical checkup. Endoscopic biopsy of the lesion led to a histological diagnosis of carcinoid tumor. Total gastrectomy was performed. Pathologically 3 carcinoid tumors invading submucosa and metastasis to 4d lymphnode were revealed. Microscopic findings of the resected stamoch was so atrophic as compatible with chronic atrophic type gastritis. Gastric carcinoid, if it is smaller than 2 cm in diameter and invades within submucosa, has been treated as low malignant tumor, and resected partially as unsual. But once pathogenesis of the lesion is proved as caused by hypergastrinemia accompainied with chronic atrophic type gastritis, total gastrectomy should be performed for curative treatment.