A CASE OF MULTIPLE GASTRIC CARCINOIDS ASSOCIATED WITH TYPE A GASTRITIS

Abstract

A 38-year-old female was admitted for the further evaluation of elevated lesions of the stomach. Gastroscopy revealed multiple small elevated lesions of the gastric body, which were diagnosed as carcinoid tumors on histologic examination of biopsy specimens. Hypergastremia (1048 pg/dl), iron deficiency anemia and positive parietal cell antibody were identified, whereas urine 5-HIAA, serum serotonin and histamine levels were within normal limits. Total gastrectomy was performed. Histological examination disclosed multiple endocrine cell micronests and approximately 90 carcinoid tumors up to 0.5 cm in diameter in atrophic fundic gland mucosa.