This video clip shows a nodule that was found on the greater curve of the stomach in a 35-year-old man referred for a gastroscopy because of symptoms of reflux oesophagitis.
You take a full set of samples and after the examination the patient asks what the management of the lesion is likely to be.
What do you tell the patient?
a) This is probably a hyperplastic polyp and eradication of any Helicobacter pylori may well induce spontaneous regression. You tell the patient that he will most likely be offered another examination in a year to reassess the stomach after treatment to eradicate Helicobacter pylori.
b) This is probably a gastrointestinal stromal tumour (GIST). You tell the patient that he is likely to be offered an assessment by endoscopic ultrasonography (EUS) and, as the lesion is small, it is likely that surveillance will be offered.
c) This is probably a neuroendocrine tumour (NET). You tell the patient that it is likely to require surgical resection.
d) This is probably an early gastric cancer. You tell the patient that he is likely to be offered an attempt at endoscopic resection.
e) This is probably an advanced gastric cancer. You tell the patient that he is likely to be offered a gastrectomy.