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Case Reports in Oncological Medicine
Volume 2013, Article ID 414518, 7 pages
Case Report

Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature

1Department of Internal Medicine, Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07902, USA
2Division of Gastroenterology, Overlook Medical Center, Summit, NJ 07902, USA
3Division of Pathology, Overlook Medical Center, Summit, NJ 07902, USA

Received 29 August 2013; Accepted 8 October 2013

Academic Editors: F. J. Kubben and R. Palmirotta

Copyright © 2013 Sakshi Kapur et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a case of a 40-year-old female who presented with dyspeptic symptoms for six months. Upper GI endoscopy revealed a submucosal nodule in gastric antrum. Using “jumbo biopsy unroofing technique” we were able to get adequate tissue for analysis. Histopathology revealed a type III gastric carcinoid. Patient was treated with laparoscopic distal subtotal gastrectomy with Roux-en-Y reconstruction and partial omentectomy. Although there was no evidence of metastasis on initial presentation, eighteen months later, patient was found to have multiple metastatic lesions in her liver. Patient’s lesions were treated with intra-arterial (hepatic artery) Yttrium-90.