Endoscopic Surveillance of Gastric Carcinoid Tumors Associated with Gastritis Type A Osamu Hosokawa 1 1Department of Surgery, Fukui Prefectural Hospital Keyword: 胃力ルチノイド , A型胃炎 , 内視鏡追跡 , 自然経過 pp.1395-1404
Published Date 2000/10/25
DOI https://doi.org/10.11477/mf.1403104894
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 Examining two resected cases of gastric carcinoid tumors associated with gastritis type A, we considered that these tumors were harmless and that there was no indication for major surgery such as total gastrectomy. Five patients who had been diagnosed as having such tumors were followed up with gastroscopy at 6-month intervals along with examination of serum gastrin and abdominal CT at one-year intervals. Endoscopically, the carcinoid tumors were shown to have regressed in one patient who had been followed up for 6 years and 10 months. The tumors of the remaining four patients have not changed in size but erosion has appeared at the top of the tumor in one patient. The levels of serum gastrin in each patient did not vary and neither hepatic nor lymphatic metastasis was detected with abdominal CT. It was concluded that gastric carcinoid tumors associated with gastritis type A included some tumors that do not need to be removed immediately.

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