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Duodenum

UGIE Duodenal mass

UGIE Ultrasound showing submucosal mass

Monomorphic cellular aspirate MGG stain

Monomorphic cellular aspirate with plasmacytoid cells MGG Stain

Plasmacytoid cells with uniform nuclei MGG stain

cell block showing sheets of uniform cells

Cell block showing monomorphic cells

Cell block IHC Synaptophysin positive

Cell block IHC Ki67

Cell block IHC CK 20 Negative

IHC Chromogranin on cell block positive

Duodenal biopsy showing nest of neuroendocrine cells