57 year old woman with polypoid gastric mass

A 57-year-old woman was referred with chief complaint of pallor and lethargy for 9 months. Laboratory investigation was notable for anemia and occult blood in the stool exam. Her past medical history was unremarkable. Endoscopy of the upper gastrointestinal tract showed a large fungative reddish mass measuring 7 x 6 cm in the body of the stomach and multiple variable size polyps in the antrum [figure 1]. The patient underwent hemi-gasterectomy. Billroth I. Gross examination of the stomach showed a large polypoid mass measuring 8x7x6 cm [figure 2] with erosive surface in some areas