A Case of Recurrence as Lymph Node Metastasis Ten Years after Endoscopic Resection for Minute Gastric Carcinoid

• Published in: The Japanese Journal of Gastroenterological Surgery Vol. 44; no. 7; pp. 823 - 828
• Main Authors: Kokado, Yujiro, Kawamura, Taiichi, Tokunaga, Masanori, Tanizawa, Yutaka, Bando, Etsuro, Terashima, Masanori
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society of Gastroenterological Surgery 2011
• Subjects: gastric carcinoid; lymph node metastasis; minute
• ISSN: 0386-9768; 1348-9372
• DOI: 10.5833/jjgs.44.823

We report a case of a 47-year-old woman who had lymph node metastasis 10 years after endoscopic resection for minute gastric carcinoid. A small submucosal tumor had been diagnosed in the gastric body. The tumor was curatively removed by endoscopic resection in another hospital. The pathological examination showed the tumor was gastric carcinoid, measuring 3 mm in diameter, invading the submucosa. Eight years after, screening abdominal ultrasonography revealed lymph node swelling (12 mm) beside the gastric lesser curvature, and a further two years later she was introduced to our department. Gastroscopy showed only scar, but no residual tumor nor new lesions in the stomach with no chronic atrophic gastritis. Serum gastrin was within normal levels. The lymph node swelling was diagnosed as metastasis of carcinod tumor by laparosopic biopsy. We evaluated recurrence of gastric carcinoid and conducted total gastrectomy with lymph node dissection. Pathologically, six metastatic lymph nodes were revealed in the gastric regional area, but no other new lesions in the whole gastric wall. Minute gastric carcinoid tumors rarely have high malignancy potential.