Mucosal irregularity refers to a defect in the superficial layer, lining the inner side of the stomach, as is seen in chronic gastritis and ulcers. This could be benign or malignant. Ulcers may have a chance of malignant transformation and malignant/ pre-malignant lesions may present similarly. Hence a biopsy is necessary at this stage to rule out the possibility. It would be best to discuss the situation and the management plan in detail with your gastroenterologist after the biopsy results are known.
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