Left: 90 year-old woman with a remote history of lymphoma 25 years earlier, who had been found with an abdominal mass on CT scan 18 months prior to presentation. EGD and colonoscopy at that time had been nonreveling; CT-directed biopsy had not been performed due to her age and overall debility. She presented to hospital with significant hematemesis and melena. Endoscopy revealed a 2-3 cm ulcerated mass in the gastric fundus with bleeding, seen here at retroflexion. Biopsy demonstrated a gastrointestinal stromal tumor with malignant features. Bleeding was controlled with epinephrine injections. She underwent successful surgical resection and made an uneventful recovery.