An association of carcinoid tumors with another primary neoplasm has been reported in 17∼53% of cases, with an especially high incidence of adenocarcinomas. However, simultaneous association of a gastric carcinoid tumor with a gastric adenocarcinoma as a synchronous double primary cancer is extremely rare. We report a case of a synchronous double primary cancer associated with a gastric carcinoid and early gastric cancer in a 63-year-old male patient. (Korean J Gastrointest Endosc 2008;37:360- 363)