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The Old Endoscopy Quiz (and Answer) of the Month
February 2007

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the Quiz Page

Question:


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This very old lady had enjoyed a perfect health until quite an high age. Then she lost her appetite and had difficulties in eating full meals. Her weight went down, and in a few months she felt more and more weak. This was the finding in an upper endoscopy. Surely she suffer from a serious disease, but what is it?

Answer:

    An Advanced Gastric Cancer of the Diffuse Type

    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 , 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 20ies. 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.

Correct answers and comments were emailed by

    Salvatore Della Ducata, Gallipoli, Italy
    PARABOLI SILVA, Marcio Luiz , SAOJOSE DO RIO PRETO -SP-, BRAZIL
    Trinh & Albert, Los Angeles, CA
    Lavrentios Papalavrentios, Thessaloniki, Greece
    Noa Ciuraru, Kfar-Saba, Israel
    Zahreddine Radwan, Beirut, Lebanon
    luisguillermoguerrero, bogota, Colombia
    Munir Bishara, Melbourne, Victoria, Australia
    Ma³gorzata, Ferenc, Olsztyn, Poland
    Tsiaousi Eleni, Thessaloniki, Greece
    klaudia j niepsuj, Gliwice, Poland
    tamer, doha, Qater
    Balas Maria, Cluj Napoca, Romania
    fahri akyüz, Izmit, Turkey
    Vitor Fernandes, Almada, Portugal
    Hurler, Ulrike, Heidenheim, Germany
    Quy Dung, HCMcity, Vietnam
    demi, Paris, France
    Amrani Khalil, constantine
    Bacci, Bragança Pta, Brazil
    Balas Maria, Cluj Napoca, Romania
    Yaşar Nazlıgül, Ankara, Türkiye
    Abdon Guerra, San Antonio, 5 region, Chile
    Lynda, Los Angeles, USA
    Dr Sheikh Anwar Abdullah, Kuala Lumpur, Malaysia


    Rockefeller Center, New York ©

    danielle tipa, brooklyn, USA, New York
    Cheryl Lynch, Erie, PA, USA
    Mario, Habana, Cuba
    TAM, İSTANBUL, TÜRKİYE
    alexander uy, Manila, Philippines
    BURA CRISTINA, CLUJ-NAPOCA, ROMANIA
    janet, Patchogue, USA/New York
    Claudia Iacobescu, Bucharest, Romania
    Cevale Karslioglu Sgouros, Istanbul, Turkey
    isa mammadov, sumgait, azerbaijanian

Comments:

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