Multifocal gastric carcinoids.
A 45-year-old man was endoscoped to investigate his chest pain. No esophageal abnormality was found but an incidental finding was that of two nodules on the greater curvature of the stomach. Biopsies revealed them to be carcinoid tumors. Further investigation revealed a low blood vitamin B12 concentration, positive anti-intrinsic factor antibodies and a high fasting blood gastrin concentration. The carcinoids have developed secondary to the gastrin drive. They were treated by diathermy and no recurrent lesions have been detected during the 3 subsequent annual surveillance endoscopies.
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