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Journal of Case Reports
Unusual Presentation of a Neuroendocrine Tumor of Stomach as an Ulcer
Y.V Keshav Prasad, A.N Bhargava Vyas, Rajat Choudhari, M. Sri Rama Bhat
Department of General Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal.
Corresponding Author:
Dr Rajat Choudhari
Email: rajatc10@gmail.com
Received: 22-MAR-2021 Accepted: 22-NOV-2021 Published Online: 05-DEC-2021
DOI: http://dx.doi.org/10.17659/01.2021.0062
Background: Gastric neuroendocrine tumors (G-NETs) originate from the enterochromaffin like (ECL) cells of the gastric mucosa and form less than 1% of all gastric tumors. These present as single to multiple polyps on endoscopy. Case Report: A 52-year-old female patient found to have an ulcer on esophagogastroduodenoscopy (EGD) which was reported as chronic gastritis on biopsy. She underwent distal gastrectomy with Billroth II anastomosis due to suspicion of malignancy only to be diagnosed as a grade II gastric neuroendocrine tumor on final histopathological examination. Conclusion: Majority of G-NETs are detected incidentally on endoscopy or present with gastrointestinal bleeding, anemia, fatigue, epigastric pain and vomiting. One should be mindful of this unusual presentation of a G-NET as a gastric ulcer and further evaluation should be considered if there is suspicion of malignancy even after endoscopic biopsy.
Keywords : Gastric Ulcer, Neuroendocrine Tumors, Peptic Ulcer, Stomach Neoplasms, Surgical Anastomosis.
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