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Adequate medical treatment involves sphenoid resection associated with tumor within clear margins. If adjacent body organs may take place, en bloc resection could be the treatment of choice. CASE REPORT A 62-year-old male client presented to the crisis division complaining of melena for 7 days. He underwent gastroscopy, colonoscopy and abdominal calculated tomography scan, which revealed a sizable, exophytic, lobular mass (12.6×9.7×12 cm) for the higher curvature of the b