[A further case of gastric microcarcinoidosis (author's transl)]

A diffuse neoplastic peptide-microcarcinoidosis, concentrated in the oral half of the stomach, with 3 small invasive mucosal carcinoids without metastases, was found in a 55 years old woman with a healed duodenal ulcer, cholelithiasis, and obsolete chronic cholecystitis and gastritis. The findings are to be considered within limits as malignant. The only sure hormonal consequence of the microcarcinoidosis was hyperthrophy of the muscularis propria et mucosae (perhaps a Motilin effect?), which was also seen in a previous case. In the clinical picture the symptoms of a chronic gastritis were obscured by gall-stone attacks. The case is of clinical interest as it shows that a diffuse microcarcinoidosis can occur together with one or serveral small gastric carcinoids which have been detected by biobsy and histology. For clarification new biopsies have to be performed.