Malignant Carcinoid of the Stomach

Ray Ballinger, MD, PhD

Straub Clinic and Hospital

rballinger at straub.net

Abstract

79 y/o man with 3 months or weight loss

Keywords

abdomen stomach all ct gi

History and Images

79 y/o man with 3 months or weight loss (30 lb) and recent onset of right sided abdominal pain.

UGICTCTCTBone Scan

Findings

The upper GI series and CT scan show a mass in the gastric cardia. The Ct scan also shows at least one liver metastasis as well as extensive lymphadenopathy in the retroperitoneum. The bone scan shows focal areas of increased activity in the posterior right 10th rib and the mid right femur suspicious for metastases

Diagnosis

Malignant Carcinoid of the Stomach with metastases

Discussion

Approximately 68% of carcinoid tumors are found in the GI tract and of these 9% are found in the stomach. Most GI carcinoid tumors are found within the ileum (about 40%). 13% of patients have metastases at time of diagnosis with an overall 5 year survival rate of 67%. 24% of patients have more than one tumor.

References

  1. Cancer. 2003 Feb 15;97(4):934-59.
  2. Eur J Cancer Prev. 2003 Jun;12(3):191-4.