Type 2 gastric neuroendocrine tumor: report of one case

In this article we reported a female patient with type 2 gastric neuroendocrine tumor (NET). The patient developed upper abdominal pain, acid reflux, heartburn, nausea, and vomiting without obvious cause 16 years ago. Later, a tumor was found in her stomach. Two years ago, a solid mass was found at the pancreatic head. Somatostatin receptor scintigraphy showed positive result. Puncture biopsy showed the presence of a NET. The serum gastrin level was significantly increased (3,527pg/mL) at presentation. A second gastroscopy showed polypoid uplifts in gastric body. Puncture biopsy confirmed the presence of a G2 NET in gastric body. The patient previously had received a pituitary tumor surgery and thyroid gland resection. The diagnosis was multiple endocrine neoplasia type 1 (MEN-1). The treatments included sutent, lanreotide, and traditional Chinese herbs. In this article we described the diagnosis and treatment of a patient with MEN-1 accompanied with type 2 gastric NET, which may be clinically informative.