Malignant Carcinoid of the Stomach

Ray Ballinger, MD, PhD

Straub Clinic and Hospital

rballinger at


79 y/o man with 3 months or weight loss


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.



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


Malignant Carcinoid of the Stomach with metastases


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.


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