A 49-year-old man was hospitalized for further examination of anemia. Pernicious anemia was diagnosed by the presence of megaloblastoid cells in the bone marrow and the decreased serum vitamine B12 level. Gastroendoscopic examination revealed atrophic gastritis and multiple submucosal tumors which were removed by endoscopic resection and pathologically diagnosed as carcinoid tumor. The patient was followed for several months by the gastroendoscopic examination. However, multiple tumors recurred. Total gastrectory was performed by the patient's wish with the informed consent.
本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである