case_images: PMC6378457_01
case_images: Gastric mucosa with MANEC, atypia in gland cells, and dysplasia in enterochromaffin cells.
case_images: 10.1177_2050313X19828918-fig1.jpg
case_images: PMC6378457_01_10.1177_2050313X19828918-fig1.jpg
case_images: fig1-2050313X19828918
case_images: 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).
case_images: Positive immunostaining for CD56.
case_images: 10.1177_2050313X19828918-fig2.jpg
case_images: PMC6378457_01_10.1177_2050313X19828918-fig2.jpg
case_images: fig2-2050313X19828918
case_images: 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).
case_images: Positive immunostaining for cytokeratin 20.
case_images: 10.1177_2050313X19828918-fig3.jpg
case_images: PMC6378457_01_10.1177_2050313X19828918-fig3.jpg
case_images: fig3-2050313X19828918
case_images: 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).
case_images: Positive immunostaining for chromogranin 20, within tumor.
case_images: 10.1177_2050313X19828918-fig4.jpg
case_images: PMC6378457_01_10.1177_2050313X19828918-fig4.jpg
case_images: fig4-2050313X19828918
case_images: 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).
case_images: Esophagogram which did not show any leakage or stenosis.
case_images: 10.1177_2050313X19828918-fig5.jpg
case_images: PMC6378457_01_10.1177_2050313X19828918-fig5.jpg
case_images: fig5-2050313X19828918
case_images: 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.
case_images: Patient with good clinical condition and fistula.
case_images: 10.1177_2050313X19828918-fig6.jpg
case_images: PMC6378457_01_10.1177_2050313X19828918-fig6.jpg
case_images: fig6-2050313X19828918
case_images: 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).
case_images: Metal stent covering the fistula.
case_images: 10.1177_2050313X19828918-fig7.jpg
case_images: PMC6378457_01_10.1177_2050313X19828918-fig7.jpg
case_images: fig7-2050313X19828918
case_images: 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).