Neuroendocrine Carcinoma of Stomach: A Case Report and Review of Literature
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 2
Abstract
Neuroendocrine neoplasms are rare tumors of stomach. In stomach these usually arise from enterochromaffin cells of Kulchitsky and can vary from benign to highly malignant tumors. These are divided into four distinct groups according to their clinicopathological behaviour. Type 1 are usually benign, are associated with chronic atrophic gastritis and carry a good prognosis. Type 2 are similar to type 1 in clinical presentation but metastatise in around 10-30% patients. Type 3 are sporadic, usually more than 2cm in size and need radical surgery. Type 4 are poorly differentiated, highly malignant tumors and carry a very poor prognosis. Here we present a case of type 3 neuroendocrine carcinoma of the stomach which was diagnosed postoperatively by histopathology and confirmed by immunohistochemistry. The patient underwent a total gastrectomy with splenectomy with distal pancreatectomy with roux en-y-oesophagojejunostomy. We present this case due to its rarity. Review of literature done to emphasise the types and treatment of these tumors.
Authors and Affiliations
Dr Jagdish Gupta
Keywords
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