Pernicious Anemia and the Development of Carcinoid Tumors of the Stomach

CARCINOID tumors of the stomach are rare. To our knowledge, there are 93 cases reported in the literature before 1970.1Numerous gastric carcinoids are more unusual, with nine reports before 1971.2,3There have been four cases of pernicious anemia associated with gastric carcinoid mentioned in the English literature,1,2,4,5one of which concerned a patient with seven tumors in his stomach.2We treated a patient with pernicious anemia and gastric carcinoid. This report also represents the second case of numerous (four) tumors in a patient with pernicious anemia. It also demonstrates the value of endoscopic biopsy in the diagnosis of these lesions before surgery.1,3 Report of a Case A 33-year-old man was admitted to the Mount Sinai Hospital in May 1976 because of a polypoid defect detected in the stomach during an upper gastrointestinal (GI) tract series. The patient had pernicious anemia since March 1974 but