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One of the most dangerous causes of an ulcer is obviously a cancer. Gastric cancers or gastric malignancies often show themselves as an ulcer and their symptoms can mimic just general peptic ulcer disease. So that is why if you have a patient that’s a more elderly, or if it’s a new onset of a ulcer disease or symptoms, it’s very important to do a thorough workup, including an endoscopy to make sure that there’s no malignancy involved.