Endoscopy of Scirrhous Gastric Carcinoma involving the entire Fundus, Body and the Antrum (29 of 47)

Thickening of the antrum is marked with scissors

In contrast with usual cases of gastric cancers, scirrhous
gastric carcinoma tends to spread over the peritoneum
with rapid growth and early metastasis. Thus, the
prognosis is poor in patients with this disease, and the
5-year survival rate is low. In general, the tumor cells in
patients with scirrhous gastric cancer are located
predominantly in the submucosa and are separated by
large areas of abundant connective tissue. Sometimes
these unique tumor growth patterns make it difficult for
radiologists or endoscopists to detect the tumor with
upper gastrointestinal (UGI) series or endoscopic
examinations.