The best prognosis in carcinoma stomach is with
High-Yield Explanation
Ca stomach may be divided into 5 morphological subtypes, that correlates loosely with the natural history and outcome.
Ulcerating Ca
Polypoidal Ca
Superficial spreading Ca
also known as early gastric cancer, superficial ca is confined to mucosa and submucosa.
these cancers have excellent prognosis (-90% 5 year survival rate) after resection
Linitis plastica or Scirrhous Ca
these tumors infiltrate the entire thickness of the stomach and cover a very large surface area, commonly involve the entire stomach. Marked desmoplastic reaction is noted, the stomach loses its pliability.
it has the worst prognosis of all types as spread is early.
Advanced carcinoma
this largest category contains the big tumors that are found partly within and partly outside the stomach. They may originally have qualified for inclusion in one of the preceding groups but have outgrown that early stage.