Malignant carcinoid of the stomach with metastases

Case contributed by Dr J. Ray Ballinger

Presentation

Three months weight loss (30 pounds) with recent onset of right-sided abdominal pain.

Patient Data

Age: 80 years
Gender: Male

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.

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Case 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.

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