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A 47-year-old man presented with mild epigastric pain, dyspepsia and 4 kg weight loss for the last 2 months. There was no history of fever, GI bleeding, cough or pertinent past illnesses or surgery. Physical examination was unremarkable. Routine laboratory tests were within the normal range except for mild anaemia (haemoglobin concentration 11.4 g/dL) and increased erythrocyte sedimentation rate (54 mm/h). ECG and chest X-ray were normal, and serology of HIV, HBV and HCV were negative. Upper endoscopy showed several multilobulated subepithelial lesions (SEL) in the gastric body, cardia and antrum with normal overlying mucosa (figure 1A). Serum chromogranin A and urinary …
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