specimen endoscopy fragments of greyish white tissue together measuring 1.1*0.7*0.5 cm microcopic exam section shows fragments of gastric mucosa revaling a infilatrating neo a large pre pyloric ulcerated growth of stomach with gastric outlet obstruction biopsy taken found fragments of greyish white tissue together measuring 1.1*0.7*0.5 cm microscopic exam section shows fragments of gastric mucosa revealing a infiltrating neoplasm composed of round to oval tumour cells arranged in glandular pattern .cords & in singles .few signet ring shaped cells are seen impression - consistent with infiltrating moderately differentiated adonocarcinoma with signet ring cell differentiation -stomach