GASTRIC NEUROENDOCRINE TUMOUR A RARE PRESENTATION

A 50 years old male patient was admitted in our ward with the complaints of upper abdominal pain for the past 10 years and haematemesis for the past two months. Endoscopy wasdone and an ulceroproliferative growth was noted in the greater curvature of the stomach from which biopsy was taken and the histopathological examination revealed moderately differentiated adenocarc inoma.Subsequently contrast enhanced CT scan of abdomen was done which showed irregular circumferential wall thickening of body of the stomach with perigastric lymphnode enlargement. Subtotal gastrectomy was done and the resected specimen was sent for histopathological examination. Histology revealed type IV gastric neuroendocrine tumour with lymph node metastases. This case is reported for the rarity of this tumour and for its rare histological pattern of presentation.