Figure 3: Gastric biopsy showing superficial mucosal fragments with tumor cells arranged as nests and as acini (H and E, ×200) had a small rim of cytoplasm and had a stippled nuclear chromatin (a). They were strongly immunopositive for chromogranin and synaptophysin, two of the common markers used for detection and demonstration of neuroendocrine differentiation (b and c) FNAC from the liver mass (d) showed sheets and fragments of tumor cells with cells having moderately pleomorphic nuclei and coarse chromatin (Papanicolaou, ×200). The tumor was more poorly differentiated as compared to the gastric primary