Letters To The Editor
Copyright ©2011 Baishideng Publishing Group Co.
World J Gastroenterol. Sep 21, 2011; 17(35): 4052-4054
Published online Sep 21, 2011. doi: 10.3748/wjg.v17.i35.4052
Table 2 Gastric carcinoid types and differentiating characteristics
Type 1Type 2Type 3
% of gastric carcinoids70%-80% - most commonLess than 5%15%-20%
AssociationChronic atrophic gastritisGastrinomas (Zollinger-Ellison)Sporadic carcinoid syndrome
EpidemiologyTypically women 50-70 yrs oldFamily hx of MEN type 1 syndromeIncreased in African Americans
PresentationAsymptomatic or anemiaPeptic ulcer diseaseHepatic mets or carcinoid syndrome
Rate of metastasis over a lifetime< 2% even if larger than 2 mm2%-4%65% metastatic at presentation
TreatmentObservation vs endoscopic resection vs antrectomyEndoscopic resection vs antrectomy vs octreotide vs gastrectomyPartial or total gastrectomy with lymph node dissection vs chemotherapy