Summary
In the Zollinger-Ellison syndrome, fundic argyrophil carcinoid tumors occur almost exclusively in the small subgroup of patients who also have multiple endocrine neoplasia type 1. In these patients, tumor development seems related to the same genetic alterations as those observed in other endocrine tumors related to multiple endocrine neoplasia type 1. We report here the second detailed case of a patient with sporadic Zollinger-Ellison syndrome who developed an argyrophil carcinoid tumor in nonatrophic fundic mucosa, suggesting that chronic hypergastrinemia may lead to fundic carcinoid development in non-genetically predisposed patients.
References
Lehy T, Mignon M, Cadiot G, Elouaer-Blanc L, Ruszniewski Ph, Lewin MJM, Bonfils S: Gastric endocrine cell behavior in Zollinger-Ellison patients upon long-term potent antisecretory treatment. Gastroenterology 96:1029–1040, 1989
Cattan D, Roucayrol AM, Launay JM, Callebert J, Charasz N, Nurit Y, Belaïche J, Kalifat R: Circulating gastrin, endocrine cells, histamine content, and histidine decarboxylase activity in atrophic gastritis. Gastroenterology 97:586–596, 1989
Ekman L, Hansson E, Havu N, Carlsson E, Lundberg C: Toxicological studies on omeprazole. Scand J Gastroenterol 20(suppl 108):53–69, 1985
Tielemans Y, Hakanson R, Sundler F, Willems G: Proliferation of enterochromaffinlike cells in omeprazole-treated hypergastrinemic rats. Gastroenterology 96:723–729, 1989
Solcia E, Bordi C, Creutzfeldt W, Dayal Y, Dayan AD, Falkmer S, Grimelius L, Havu N: Histopathological classification of nonantral gastric endocrine growths in man. Digestion 41:185–200, 1988
Borch K, Renvall H, Liedberg G: Gastric endocrine cell hyperplasia and carcinoid tumors in pernicious anemia. Gastroenterology 88:638–648, 1985
Solcia E, Capella C, Fiocca R, Rindi G, Rosai J: Gastric argyrophil carcinoidosis in patients with Zollinger-Ellison syndrome due to type 1 multiple endocrine neoplasia. A newly recognized association. Am J Surg Pathol 14:503–513, 1990
Lehy T, Cadiot G, Mignon M, Ruszniewski P, Bonfils S: Influence of multiple endocrine neoplasia type 1 on gastric endocrine cells in patients with the Zollinger-Ellison syndrome. Gut 33:1275–1279, 1992
Mignon M, Bonfils S: Diagnosis and treatment of Zollinger-Ellison syndrome. Baillere's Clin Gastroenterol 2:677–698, 1988
Cadiot G, Laurent-Puig P, Thuille B, Lehy T, Mignon M, Olschwang S: Is the multiple endocrine neoplasia type 1 gene a suppressor for fundic argyrophil tumors in Zollinger-Ellison syndrome? Gastroenterology 105:579–582, 1993
Jensen RT: Gastrinoma as a model for prolonged hypergastrinemia in the human.In Gastrin. JM Walsh (ed). New York, Raven Press 1993, pp 373–393
Feurle GE: Argyrophil cell hyperplasia and a carcinoid tumour in the stomach of a patient with sporadic Zollinger-Ellison syndrome. Gut 35:275–277, 1994
Poynard T, Mignon M, Accary JP, Bonfils S: Sensitivity, specificity and predictive values of the secretin infusion test in the diagnosis of gastrinoma. Gastroenterol Clin Biol 10:492–496, 1986
Allouch A, Cadiot G, Houillier P, Paillard M, Mignon M, GRESZE: Early diagnosis of primary hyperparathyroidism in patients with the Zollinger-Ellison syndrome (ZES) using measurement of nephrogenous cAMP and iPTH under basal condition and after calcium load. Gastroenterology 106:A283, 1994 (abstract)
McArthur KE, Collen MJ, Maton PN, Cherner JA, Howard JM, Ciarleglio CA, Cornelius MJ, Jensen RT, Gardner JD: Omeprazole: effective, convenient therapy for Zollinger-Ellison syndrome. Gastroenterology 88:939–944, 1985
Benya RV, Metz DC, Venzon DJ, Fishbeyn VA, Strader DB, Orbuch M, Jensen RT: Zollinger-Ellison syndrome can be initial endocrine manifestation in patients with multiple endocrine neoplasia type 1. Am J Med 97:436–444, 1994
Knudson AG: Retinoblastoma: A prototypic hereditary neoplasm. Semin Oncol 5:57–60, 1978
Teh BT, Hayward NK, Wilkinson S, Woods GM, Cameron D, Shepherd JJ: Clonal loss of INT-2 alleles in sporadic and familial pancreatic endocrine tumours. Br J Cancer 62:253–254, 1990
Friedman E, Sakaguchi K, Bale AE, Falchetti A, Streeten E, Zimering MB, Weinstein LS, McBride WO, Nakamura Y, Brandi ML, Norton JA, Aurbach GD, Spiegel AM, Marx SJ: Clonality of parathyroid tumors in familial multiple endocrine neoplasia type 1. N Engl J Med 321:213–218, 1989
Cadiot G, Lehy T, Ruszniewski P, Bonfils S, Mignon M: Gastric endocrine cell evolution in patients with Zollinger-Ellison syndrome. Influence of gastrinoma growth and long-term omeprazole therapy. Dig Dis Sci 38:1307–1317, 1993
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Cadiot, G., Vissuzaine, C., Potet, F. et al. Fundic argyrophil carcinoid tumor in a patient with sporadic-type zollinger-ellison syndrome. Digest Dis Sci 40, 1275–1278 (1995). https://doi.org/10.1007/BF02065537
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02065537