question: Hi, Good Evening, Would be obliged if you can share some expert advice on the below: Macroscopic Description: Received 7 irregular grayish white to dark brown soft tissue fragments measuring from 0.3 to 0.4 cm - 7 all. Microscopic Description: sections show fragments of gastric mucosa with infiltration of the lamina propria by a maligant neoplasm composed of hyperchromatic and pleamorphic polyhedral cells forming glands or as cords against a desmoplastic stroma. focally vocuolated signet ring cells are seen in between the neoplastic glands. focally some inflammatory granulation tissue with interspered neoplastic glands are also noted. Impression: MODERATE TO POORLY DIFFERENTIATED (GRADE III TO IV) ADENOCARCINOMA , GASTRIC (ENDOSCOPIC) BIOPSY. kindly advice whether to operate or not, if operated the life after it ???The patient age is 63 yrs. Regards, Nasir