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He had been suspected of having gastric disease centered on ultrasonography and calculated tomography findings and ended up being labeled our hospital by their residence doctor. Upper intestinal endoscopy revealed a gastric disease when you look at the lower curvature of this gastric antrum. Distal gastrectomy ended up being performed. Histopathology showed a moderately classified adenocarcinoma with a clear cytoplasm. Immunostaining had been positive for Sal-like protein 4(SALL4)