PMC6378457_01
Gastric mucosa with MANEC, atypia in gland cells, and dysplasia in enterochromaffin cells.
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II, moderately differentiated MANEC (Figure 1), with muscle and vascular invasion, was detected. Immunostaining revealed cytokeratin 20, CD56, and chromogranin A positivity (Figures 2-4, respectively).
Positive immunostaining for CD56.
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II, moderately differentiated MANEC (Figure 1), with muscle and vascular invasion, was detected. Immunostaining revealed cytokeratin 20, CD56, and chromogranin A positivity (Figures 2-4, respectively).
Positive immunostaining for cytokeratin 20.
10.1177_2050313X19828918-fig3.jpg
PMC6378457_01_10.1177_2050313X19828918-fig3.jpg
fig3-2050313X19828918
II, moderately differentiated MANEC (Figure 1), with muscle and vascular invasion, was detected. Immunostaining revealed cytokeratin 20, CD56, and chromogranin A positivity (Figures 2-4, respectively).
Positive immunostaining for chromogranin 20, within tumor.
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PMC6378457_01_10.1177_2050313X19828918-fig4.jpg
fig4-2050313X19828918
II, moderately differentiated MANEC (Figure 1), with muscle and vascular invasion, was detected. Immunostaining revealed cytokeratin 20, CD56, and chromogranin A positivity (Figures 2-4, respectively).
Esophagogram which did not show any leakage or stenosis.
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To assess the anastomosis, an esophagogram was performed which ruled out a leak (Figure 5); in addition, a contrast-enhanced abdominal tomography discarded the presence of any abscesses or intra-abdominal collections.
Patient with good clinical condition and fistula.
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Since the output of the drain persisted for 4 weeks after discharge (Figure 6), an endoscopic intervention with a metal stent was completed to close the fistula (Figure 7).
Metal stent covering the fistula.
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Since the output of the drain persisted for 4 weeks after discharge (Figure 6), an endoscopic intervention with a metal stent was completed to close the fistula (Figure 7).