Figure 1.Representative images from diagnostic upper endoscopy performed one month prior to presentationImages of the gastroesophageal junction (1, 3), middle third of the esophagus (2), and gastric body (6, 8, 9) demonstrate a normal-appearing mucosa without ulceration, mass, or nodularity. Image 9 highlights a small sliding hiatal hernia. Images 4, 7 show a normal pre-pyloric stomach, and image 5 shows an unremarkable duodenal bulb. There were no visible signs of malignancy on endoscopic inspection, underscoring the tumor’s non-luminal growth pattern.