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  • Title: Minute gastric carcinoid tumor with regional lymph node metastasis: a case report and review of literature.
    Author: Xie SD, Wang LB, Song XY, Pan T.
    Journal: World J Gastroenterol; 2004 Aug 15; 10(16):2461-3. PubMed ID: 15285046.
    Abstract:
    We have encountered an unusual case of gastric carcinoid tumor. Gastroscopic examination of this 32-year-old male patient showed a smooth protrusion at the greater curvature of the gastric body with a central depression, identified by subsequent biopsy as carcinoma. The patient had a normal serum gastrin level and was negative for anti-parietal cell antibody. Histological examination of the resected gastric tissues showed that the tumor was a carcinoid, 0.3 cm x 0.3 cm in size with only one regional lymph node metastasis. We reviewed the pathogenesis, clinical presentation, diagnosis and treatment of gastric carcinoids and raise the possibility of being a lymph vessel-related metastasis even for a minute carcinoid tumor. Sentinel lymph node biopsy is recommended for surgery of minute carcinoid tumors.
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