Case Report

A Case Report: Gastric Mixed Neuroendocrine-Nonneuroendocrine Neoplasm with Aggressive Neuroendocrine Component

Table 2

Summary of immunoprofile.

MarkerFirst biopsySecond biopsy  
(interval)
Autopsy
Primary lesion  
(stomach)
Secondary lesion  
(liver)

SynaptophysinNEC (3+)NEC (3+)NEC (2+)NEC (3+)
CD56NEC (3+)NEC (3+)NEC (3+)NEC (3+)
Chromogranin ANEC (2+)NEC (2+)NEC (2+)NEC (3+)
CEAADC (2+)
Her2ADC (3+)No ADCADC (−)No ADC
Ki67NEC: 50–60%NEC: 20–30%NEC: 30–40%
ADC: 20–30%ADC: 20–30%No ADC

NEC: neuroendocrine component. ADC: adenocarcinoma component. Ki67 index is calculated by manual eye-counting in hot spot with 40x magnification.