How would you approach a poorly differentiated neuroendocrine carcinoma of the stomach with small cell morphology without any evidence of peritoneal or distant spread?

High grade neuroendocrine carcinoma (HG-NEC) is extremely sensitive to chemo-radiotherapy. Unfortunately, they often relapse/reoccur despite treatment with curative intent for early stage disease.

In my practice, I would avoid surgery for the given clinical scenario and proceed with chemo-radiothera...