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Gastric carcinoids--a changing trend.

Vinayak Hegde1, K M Mohandas, Mukta Ramadwar

  • 1Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Mumbai 400 012.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|March 20, 2004
PubMed
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Gastric carcinoids (GC) are increasingly diagnosed, particularly those linked to atrophic gastritis. Further research is needed to understand if this rise in GC reflects improved detection or other factors.

Area of Science:

  • Gastroenterology
  • Oncology
  • Pathology

Background:

  • Gastric carcinoids (GC) are rare neuroendocrine tumors.
  • Recent studies indicate a rising incidence of GC, comprising 10%-30% of all carcinoid tumors.
  • An increase in GC cases has been observed at our institution.

Purpose of the Study:

  • To analyze the recent trend of gastric carcinoid (GC) diagnoses.
  • To investigate the etiological factors and clinical features of identified GC cases.
  • To evaluate treatment modalities for gastric carcinoids.

Main Methods:

  • Retrospective review of endoscopy reports from January 1997 to June 2003.
  • Identification of GC patients through endoscopy reports.
  • Extraction of clinical features and review of biopsy specimens from patient records.

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Main Results:

  • Seventeen GC cases were identified between 1997-2003, compared to 8 in the prior 16 years.
  • Most patients (14/17) had multiple tumors, predominantly in the gastric fundus.
  • Etiologically, 13 cases were type 1 GC (associated with chronic atrophic gastritis), one was type 2, and three were type 3 (sporadic).

Conclusions:

  • A significant increase in gastric carcinoid (GC) diagnoses is evident, aligning with international trends.
  • The observed rise is notably linked to an increase in GC associated with atrophic gastritis.
  • Further investigation is required to determine if enhanced detection methods or other reasons contribute to this trend.