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Endoscopy of Scirrhous Gastric Carcinoma involving the entire Fundus, Body and the Antrum (34 of 47)
Case description
Macroscopic Specimen of Plastic Linitis (Scirrhous Carcinoma)
The macroscopic appearance of advanced gastric
carcinoma varies and was classified by Borrmann as
fungating (type I), excavated (type II), ulcerated and
infiltrating (type III), and diffusely thickened or scirrhous
(type IV) Type IV carcinoma, or scirrhous gastric
carcinoma, represents diffuse infiltrating
adenocarcinoma—which is predominantly poorly
differentiated and shows no circumscribed lesion.
When the entire stomach wall is involved with type IV
gastric carcinoma, the condition is called linitis plastica.
The macroscopic appearance of advanced gastric
carcinoma varies and was classified by Borrmann as
fungating (type I), excavated (type II), ulcerated and
infiltrating (type III), and diffusely thickened or scirrhous
(type IV) Type IV carcinoma, or scirrhous gastric
carcinoma, represents diffuse infiltrating
adenocarcinoma—which is predominantly poorly
differentiated and shows no circumscribed lesion.
When the entire stomach wall is involved with type IV
gastric carcinoma, the condition is called linitis plastica.
