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The Old Endoscopy Quiz (and Answer) of the Month
May 2008

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the Quiz Page

Question:

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This gentleman in his upper middle age came to an upper endoscopy as he gradually had become anaemic without any other symtoms. These images show the middle part of his stomach, the finding giving an excellent explanation to the blood loss. What is this quite typical finding?

Correct answer:

    Gastric Cancer (Adenocarcinoma) of the Intestinal Type


 Gastric cancer can be divided into two groups according to the Lauren classification. Of all gastric adenocarcinomas, 30 - 40% are of the diffuse type. This type of cancer in the stomach is somewhat more common in younger patients, it is as usual in men as in women, it often forms a malignant ulcer in the stomach and Helicobacter pylori does not have any important etiologic significance. Blood group A is a small riskfactor concerning gastric cancer of the diffuse type.
The intestinal type is somewhat more common than the diffuse type. The patients are usually older, more men get this disease, it forms a typical visible tumour in the stomach and Helicobacter pylori is an important etiologic factor, a person with a Helicobacter nfection has a 6-time high possibility of getting this disease.

Correct answers and comments were emailed by

    Gustavo Pignaton, Rio de Janeiro, Brasil
    mario galluzzi, Lecco, Italy
    Cevale Karslioglu Sgouros, Istanbul, Turkiye
    BURHAN TAM, Esenyurt, İSTANBUL-TÜRKİYE
    Cheryl Lynch, Erie
    RASSIAT, Dijon, FRANCE
    Andrzej Prystupa, Lublin, Poland
    Vandelei Lima, Sao Sebastiao do Paraiso MG, Brazil
    Israel Grilo, Seville, Spain


    The summer is here! Playa de Viña del Mar in Chile©
    annabella, viña del Mar, Chile
    Claudia, Los Angeles, USA
    Grzegorz Naprawa, Szczecin, Poland
    AKAN KUMAR, BRENTWOOD, UNITED KINGDOM
    erol kuroglu, Istanbul, Turkey
    Dr.ARBER Veliu, Prishtina, Kosovo
    Dr Ram Prakash Galwa, Chandigarh, Chandigarh/India
    Ulrike Hurler, Heidenheim, Germany
    dr waseem ahmed, rawalpindi, Pakistan
    Zahreddine Radwan, Beirut, Lebanon
    samyra lacerda david, Brasil -MG
    mehmet polat, Ankara, Turkey

Comments:

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So, please email Your images here

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