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Multiple malignant carcinoids of the stomach
Archives of Surgery (Chicago, Ill. : 1960)
|October 1, 1980
Summary
Aggressive surgical removal of multiple stomach carcinoids offers a favorable prognosis. This approach, even with lymph node metastasis, led to long-term survival without recurrence or carcinoid syndrome.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Endocrinology
Background:
- Malignant carcinoids are rare neuroendocrine tumors originating in the stomach.
- Carcinoid syndrome can manifest due to hormone secretion by these tumors.
- Surgical management is the primary treatment modality for localized disease.
Observation:
- A patient presented with multiple malignant gastric carcinoids.
- The patient underwent a total gastrectomy for tumor removal.
- Lymph node metastases were identified during pathological examination.
Findings:
- The patient remains alive and disease-free almost seven years post-surgery.
- No evidence of recurrent carcinoid tumors was detected.
- The patient exhibits no clinical manifestations of carcinoid syndrome.
Implications:
- Aggressive surgical excision can lead to favorable long-term outcomes in gastric carcinoid patients.
- Even with lymph node involvement, radical surgery may achieve complete remission.
- This case highlights the potential for curative treatment through comprehensive surgical resection.