Q:

For each of the features of gastric carcinoma listed on the left select the most appropriate association from the list on the right

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For each of the features of gastric carcinoma listed on the left select the most appropriate association from the list on the right.

a. Linitis plastica.

b. Signet ring cells.

c. Superficial spreading carcinoma.


  1. Deep layers of stomach wall infiltrated and thickened.
  2. Extensive spread in mucosa and submucosa.
  3. Globule of mucin within tumour cells.
  4. Nodular mass of tumour protruding into lumen.
  5. Present in the edge of a gastric ulcer.

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The answer is A, C, B. In this growth pattern the mucosa appears uninvolved grossly, the stomach wall becoming rigid due to tumour infiltration.

Signet ring cells are characteristic of gastric carcinoma but may be seen in other tumours also.

In this growth pattern there is no evidence of deep invasion, the tumour spreading widely in the superficial layers.

Gastric carcinoma has various growth patterns including nodular outgrowths (D) and large fungating ulcerated masses. Occasionally a carcinoma may arise in the edge of an ulcer (E); more commonly the ulcer is due to tumour necrosis.

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