Korean Journal of Gastrointestinal Endoscopy 2001;22(1): 36-40.
위의 다발성 유암종의 내시경적 치료 1예 ( A Case of Endoscopic Treatment of Multiple Carcinoid Tumors in Stomach )
조상욱(Sang Wook Cho),김준기(Jun Ki Kim),신성하(Seong Ha Shin),고영춘(Young Chun Go),최정영(Jeong Young Choi),강명원(Myung Weon Kang),임연근(Yuen Keun Lim),여향순(Hyang Soon Yeo),김경수(Kyung Soo Kim)
Abstract
Multiple carcinoid tumors in stomach are very rare tumors and associated with pernicious anemia, chronic atrophic gastritis and Zollinger-Ellison syndrome. These are believed to be due to hypergastrinemia, resulting in chronic stimulation of enterochromaffine-like (ECL) cells, leading to hyperplasia, metaplasia and ultimately neoplasia. The carcinoid tumor is potentially malignant, even though it may grow slowly, so the treatment of choice must be endoscopic lumpectomy or surgical gastrectomy. The prognosis depends on the site of the tumor and its size. Most carcinoid tumors are less than 1 cm in size and metastasis is uncommon but metastasis in tumors with size over 2 cm is common. A case of multiple carcinoid tumors in stomach, which was successfully removed by endoscopy, is herein reported. (Korean J Gastrointest Endosc 2001;22:36 - 40)