Carcinoid of the Stomach

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Abstract
In the differential diagnosis of circumscribed filling defects in the stomach we usually consider such benign lesions as leiomyoma, adenomatous polyp, aberrant pancreatic tissue, and lipoma. Carcinoid of the stomach should also be included among the possibilities even in a patient who has melena. Masson has shown that carcinoids arise from the argentaffine or Kultschitzky cells which spring from the epithelium that lines the glands of Lieberkühn (1). Ashworth and Wallace, in 1941, reviewed the literature and showed that these tumors may occur elsewhere than in the appendix and ileum, as in the colon, diverticula, stomach, gallbladder, and mesentery (2). Of the 26 cases reported in these unusual locations, 6 involved the stomach. Three of these were incidental findings at necropsy and surgery; in 1 indigestion was a presenting symptom, and in 1 there was pyloric obstruction. In no instance were the roentgen findings reported. Wirts and Breckenridge (3) published 1 case of carcinoid of the stomach with symp...

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