Skip to main content
Gut logoLink to Gut
. 1994 Feb;35(2):275–277. doi: 10.1136/gut.35.2.275

Argyrophil cell hyperplasia and a carcinoid tumour in the stomach of a patient with sporadic Zollinger-Ellison syndrome.

G E Feurle 1
PMCID: PMC1374508  PMID: 8307483

Abstract

In the rat, hypergastrinaemia induced by drug treatment with omeprazole or potent H2-receptor antagonists leads to the development of gastric enterochromaffin-like cell carcinoids. In man, gastric carcinoids induced by hypergastrinaemia have been described only in patients with chronic atrophic gastritis type A and in patients with the multiple endocrine neoplasia syndrome type 1. This patient with Zollinger-Ellison syndrome without gastric mucosal atrophy and without evidence of the multiple endocrine neoplasia syndrome developed an argyrophil gastric carcinoid tumour. This observation indicates that hypergastrinaemia in the sporadic Zollinger-Ellison-syndrome may induce gastric carcinoids.

Full text

PDF
277

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Blind E., Raue F., Götzmann J., Schmidt-Gayk H., Kohl B., Ziegler R. Circulating levels of midregional parathyroid hormone-related protein in hypercalcaemia of malignancy. Clin Endocrinol (Oxf) 1992 Sep;37(3):290–297. doi: 10.1111/j.1365-2265.1992.tb02324.x. [DOI] [PubMed] [Google Scholar]
  2. Blind E., Schmidt-Gayk H., Scharla S., Flentje D., Fischer S., Göhring U., Hitzler W. Two-site assay of intact parathyroid hormone in the investigation of primary hyperparathyroidism and other disorders of calcium metabolism compared with a midregion assay. J Clin Endocrinol Metab. 1988 Aug;67(2):353–360. doi: 10.1210/jcem-67-2-353. [DOI] [PubMed] [Google Scholar]
  3. Borch K., Renvall H., Liedberg G. Gastric endocrine cell hyperplasia and carcinoid tumors in pernicious anemia. Gastroenterology. 1985 Mar;88(3):638–648. doi: 10.1016/0016-5085(85)90131-3. [DOI] [PubMed] [Google Scholar]
  4. Bordi C., Cocconi G., Togni R., Vezzadini P., Missale G. Gastric endocrine cell proliferation. Association with Zollinger-Ellison syndrome. Arch Pathol. 1974 Oct;98(4):274–278. [PubMed] [Google Scholar]
  5. Brenna E., Waldum H. L. Trophic effect of gastrin on the enterochromaffin like cells of the rat stomach: establishment of a dose response relationship. Gut. 1992 Oct;33(10):1303–1306. doi: 10.1136/gut.33.10.1303. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Brittain R. T., Jack D., Reeves J. J., Stables R. Pharmacological basis for the induction of gastric carcinoid tumours in the rat by loxtidine, an insurmountable histamine H2-receptor blocking drug. Br J Pharmacol. 1985 Aug;85(4):843–847. doi: 10.1111/j.1476-5381.1985.tb11083.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. D'Adda T., Corleto V., Pilato F. P., Baggi M. T., Robutti F., Delle Fave G., Bordi C. Quantitative ultrastructure of endocrine cells of oxyntic mucosa in Zollinger-Ellison syndrome. Correspondence with light microscopic findings. Gastroenterology. 1990 Jul;99(1):17–26. doi: 10.1016/0016-5085(90)91224-t. [DOI] [PubMed] [Google Scholar]
  8. Feurle G. E., Menzel J., Klempa I. Contribution of the antrum and duodenum to circulating forms of gastrin in the dog. Regul Pept. 1983 Oct;7(2):127–135. doi: 10.1016/0167-0115(83)90304-x. [DOI] [PubMed] [Google Scholar]
  9. Grimelius L. The argyrophil reaction in islet cells of adult human pancreas studies with a new silver nitrate procedure. Acta Soc Med Ups. 1968;73(5-6):271–294. [PubMed] [Google Scholar]
  10. Hirschowitz B. I., Griffith J., Pellegrin D., Cummings O. W. Rapid regression of enterochromaffinlike cell gastric carcinoids in pernicious anemia after antrectomy. Gastroenterology. 1992 Apr;102(4 Pt 1):1409–1418. [PubMed] [Google Scholar]
  11. Håkanson R., Sundler F. Trophic effects of gastrin. Scand J Gastroenterol Suppl. 1991;180:130–136. doi: 10.3109/00365529109093190. [DOI] [PubMed] [Google Scholar]
  12. Kern S. E., Yardley J. H., Lazenby A. J., Boitnott J. K., Yang V. W., Bayless T. M., Sitzmann J. V. Reversal by antrectomy of endocrine cell hyperplasia in the gastric body in pernicious anemia: a morphometric study. Mod Pathol. 1990 Sep;3(5):561–566. [PubMed] [Google Scholar]
  13. Lamberts R., Creutzfeldt W., Stöckmann F., Jacubaschke U., Maas S., Brunner G. Long-term omeprazole treatment in man: effects on gastric endocrine cell populations. Digestion. 1988;39(2):126–135. doi: 10.1159/000199615. [DOI] [PubMed] [Google Scholar]
  14. Maton P. N., Gardner J. D., Jensen R. T. Cushing's syndrome in patients with the Zollinger-Ellison syndrome. N Engl J Med. 1986 Jul 3;315(1):1–5. doi: 10.1056/NEJM198607033150101. [DOI] [PubMed] [Google Scholar]
  15. Poynter D., Selway S. A., Papworth S. A., Riches S. R. Changes in the gastric mucosa of the mouse associated with long lasting unsurmountable histamine H2 blockade. Gut. 1986 Nov;27(11):1338–1346. doi: 10.1136/gut.27.11.1338. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Rbin W. Proliferation of endocrine-like enterochromaffin) cells in atrophic gastri mucosa. Gastroenterology. 1969 Dec;57(6):641–648. [PubMed] [Google Scholar]
  17. Ryberg B., Bishop A. E., Bloom S. R., Carlsson E., Håkanson R., Larsson H., Mattsson H., Polak J. M., Sundler F. Omeprazole and ranitidine, antisecretagogues with different modes of action, are equally effective in causing hyperplasia of enterochromaffin-like cells in rat stomach. Regul Pept. 1989 May;25(2):235–246. doi: 10.1016/0167-0115(89)90265-6. [DOI] [PubMed] [Google Scholar]
  18. Solcia E., Bordi C., Creutzfeldt W., Dayal Y., Dayan A. D., Falkmer S., Grimelius L., Havu N. Histopathological classification of nonantral gastric endocrine growths in man. Digestion. 1988;41(4):185–200. doi: 10.1159/000199786. [DOI] [PubMed] [Google Scholar]
  19. 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. 1990 Jun;14(6):503–513. doi: 10.1097/00000478-199006000-00001. [DOI] [PubMed] [Google Scholar]
  20. Solcia E., Capella C., Sessa F., Rindi G., Cornaggia M., Riva C., Villani L. Gastric carcinoids and related endocrine growths. Digestion. 1986;35 (Suppl 1):3–22. doi: 10.1159/000199378. [DOI] [PubMed] [Google Scholar]
  21. Tielemans Y., Håkanson R., Sundler F., Willems G. Proliferation of enterochromaffinlike cells in omeprazole-treated hypergastrinemic rats. Gastroenterology. 1989 Mar;96(3):723–729. [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES