Another image and video of scirrhous carcinoma Treatment of gastric linitis without carcinomatosis is based on surgical resection, mainly a total gastrectomy. However, prognosis is poor, leading some surgeons to question the interest of such resection. A chemotherapy is usually offered to the patient, but no guideline has been really established, and results are also variable. Linitis plastica is a diffuse infiltrative gastric adenocarcinoma. This condition is marked by thickening and Deeper biopsy from the same nodule confirming the presence of independent cells in the submucosa fibrosis of the gastric wall, the malignant cells being scarcely distributed in the fibrous stroma. Frequently the gastric mucosa is spared of malignant invasion, making an endoscopic diagnosis very difficult.
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