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Exophytic and Endophytic Gastric Tumor

A 65 years old male with dyspepsia and significant loss of weight. Upper Endoscopy revealed a small gastric body bulge with normal overlying mucosa, referred for EUS that showed this large exophytic gastric mass, for me, it looks like a GIST. EUS FNB was done. While examining the liver as a routine in any EUS examination especially in the presece of a mass, I found that left lobe mass looking like a metastatic deposit! Then another possibilities should be suggested! EUS FNB was done from the liver mass after flushing of the needle and the scope channel by sterile saline. Update of the case: cytopathological examination revealed a Gastric NET with liver metastasis. Liver metastasis much more commonly found in NET than GIST. I advised Gallium Dotatate PET scan to search for other distant metastasis.