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The Old Endoscopy Quiz (and Answer) of the Month
January 2003

Gastric cancer can be classified in many ways. They are easily classified according to the anatomical site where the occur. 50% of the cancers occur in the gastric antrum - like in these images -, the other 50% can be found in the gastric body, fundus or the gastro-oesophageal junction, the latter form has become more common during the last decades. Borrman presented his classification of gastric cancers in the 20s. Type A is polypoid, type B is fungating with ulceration and haemorrhage, type C is ulcerated without major lumenal componet, and type D is infiltrative (mainly linitis plastica).

The microscopic type of the gastric cancers have been classified by P Lauren in 1965. In this classification tumours are allocated into two groups, instestinal and diffuse.

These images show a gastric cancer in the antrum. What type of gastric cancer would You suspect this tumour to be in the Lauren classification?

Answer

Gastric cancer of the intestinal type

Correct answers and comments were emailed by

ILKER ABCI, EDİRNE, TURKEY
Hurler, Ulrike, Heidenheim, Germany
Luis Guillermo Guerrero, Bogota, Colombia
wangyongjun, jinan, china

Beirut, Lebanon

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