CARCINOIDS OF STOMACH - REPORT OF 2 CASES

  • 1 January 1977
    • journal article
    • research article
    • Vol. 68  (4) , 372-378
Abstract
Endoscopic, histologic and clinical findings of 2 cases with disseminated carcinoids restricted to the stomach are described. Endoscopically different forms of polypoid lesions were observed: polypoid type of Yamada III, usually seen in epithelial tumors; small lesions elevated with bridging folds and slightly elevated types with necrotic surface similar to an early stage of cancer. An exact diagnosis is possible with sections obtained by polypectomy, buttonhold biopsy or hot biopsy. There are some problems in interpreting the histology, especially differentiation from carcinomas. Carcinoids limited to the stomach do not produce typical clinical symptoms. 5-HIA [5-hydroxy IAA] and serotonin levels in thrombocytes are in the normal range. Since surgical procedures depend on exact localization and invasive or noninvasive morphological character, endoscopy with polypectomy is of great help in assessing pathology as well as the necessity for surgery.

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