Gastric microcarcinoids diagnosed with magnification endoscopy

A 55-year-old lady underwent upper gastrointestinal endoscopy due to dyspeptic symptoms. Endoscopy revealed a diminutive flat reddened lesion measuring less than 2mm which appeared as an erosion in the proximal gastric body and a second diminutive one in the distal part of the gastric body [Fig. 1a, b]. Magnification Endoscopy with and without Narrow Band Imaging demonstrated distinctly different findings from those of a gastric erosion. At the centre of the lesion, the pit structure had disappeared, and although the capillary network was preserved, underneath the epithelium, a faint yellowish hue could be seen [Fig. 2a, b]. The surrounding mucosa in the gastric body, although normal in conventional endosopy,