Borrmann Type 4 Advanced Gastric Cancer: Focus on the Development of Scirrhous Gastric Cancer.
- Author:
Kyoungwon JUNG
1
;
Moo In PARK
;
Sung Eun KIM
;
Seun Ja PARK
Author Information
- Publication Type:Review
- Keywords: Borrmann type 4; Advanced gastric cancer; Linitis plastica; Scirrhous gastric cancer
- MeSH: Diagnosis; Early Diagnosis; Endoscopy; Humans; Hypertrophy; Linitis Plastica; Prognosis; Sclerosis; Stomach Neoplasms*
- From:Clinical Endoscopy 2016;49(4):336-345
- CountryRepublic of Korea
- Language:English
- Abstract: Early diagnosis of Borrmann type 4 advanced gastric cancer (AGC) is very important for improving the prognosis of AGC patients. Because there is no definite mass in most cases of Borrmann type 4 AGC, its accurate diagnosis via endoscopy requires an understanding of its pathogenesis and developmental process. Moreover, many people confuse linitis plastica (LP) type gastric cancer (GC), scirrhous GC, and Borrmann type 4 AGC. To distinguish each of these cancers, knowledge of their endoscopic and pathological differences is necessary, especially for LP type GCs in the developmental stage. In conclusion, diagnosis of pre-stage or latent LP type GC before progression to typical LP type GC requires the detection of IIc-like lesions in the fundic gland area. It is also crucial to identify any abnormalities such as sclerosis of the gastric wall and hypertrophy of the mucosal folds during endoscopy.
