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Surgery General 17e9db32

The best prognosis in carcinoma stomach is with

A
Superficial spreading type
B
Ulcerative type
C
Linitis plastica type
D
Polypoidal type
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.

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