This 52 year-old female presented with abdominal discomfort, nausea, vomiting, early satiety, satiety and weight loss of 20 Pounds, She had no history of tobacco or alcohol consumption. Extensive malignant infiltration from the pre-pyloric antrum to the gastric cardias. The biopsies displayed signet ring cells. Nevertheless, the patient went to one of the Social Security Hospitals in El Salvador where this case, was complicated by controversial diagnostics delaying the appropriate treatment by a month and doubting my diagnosis that took only two seconds in perform it is obvious by endoscopic image which is unmistakably of infiltrating Scirrhous Carcinoma from the gastric cardias to the pre-pyloric antrum. To avoid errors of this kind, here are some details on a scientific level despite the fact that in an atlas of this kind, some controversies that happen with discrepancies in diagnostics can be unwelcomed.
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