True regarding type III neuroendocrine tumour of the stomach? – Surgery MCQ

Which of the following is true regarding type III neuroendocrine tumour of the stomach?
A. Most frequent neuroendocrine tumour of the stomach
B. Serum gastrin is normal
C. High grade malignant tumour
D. Endoscopic resection is the treatment of choice

Correct answer: B. Serum gastrin is normal

Neuroendocrine tumour - small intestineHistology of neuroendocrine tumour (small intestine)

  • Neuroendocrine tumours of the stomach are rare tumours which comprise about 5% of all neuroendocrine tumours of the gastrointestinal tract.
  • The most frequent neuroendocrine tumour of the stomach is type I tumour.
  • Type III tumours are low grade malignant differentiated tumours.
  • Serum gastrin is normal.
  • The common symptom is upper gastrointestinal bleeding.
  • Gastrectomy, lymph node resection and resection of liver metastases is the treatment of choice.

Ref: Bailey and Love’s Short Practice of Surgery, 25th edition, p 821.
Image credits: Nephron. Licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license.
https://commons.wikimedia.org/wiki/File:Small_intestine_neuroendocrine_tumour_intermed_mag.jpg

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