Sequence 1 of 7.

 Histologic patern of gastric carcinoma of the signet ring
 cell type.

Sequence 2 of 7.

 Early gastric carcinoma  macroscopic details of the
 gastric ulcer of 1.3 cm. with the gastric folds directed to the
 ulcer’s borders.

Sequence 3 of 7.

 A 43-year old man with a lesion that can only seen in
 retroflexed maneuver because of rigid wall of the antrum
 due a early gastric
 carcinoma type III

 The image and video display some typical parameters of
 criteria of malign ulcer.

 1 Fold tapering
 2 Ulcer
 3 Fusion of folds
 4 Abrupt termination of fold
 5 Discoloration
 6 Depressed mucosal surface
 7 Bulbous enlargement.
       

Sequence 4 of 7.

 Early Gastric Cancer, type III typical abrupt and irregular
 termination of gastric folds at the ulcer margin.
 
 Early Gastric Cancer defined as limited to the mucosa and
 or submucosa.
 Metastasis to regional lymph nodes and even to distant
 organs may already exist at this stage.
 More than 90 per cent of gastric cancer patients complain
 of one or several abdominal symptoms.
 The symptoms are nonspecific disease entity and the
 patient should be evaluated with an upper endoscopy.
 Mass screening should be done in countries of a high
 incidence such as the republic of El Salvador.    

 For more endoscopic details download the video clip by
 clicking on the image.

Sequence 5 of 7. Patient delayed the surgery for more than 7 moths but the adenocarcinoma was found in the early phase.  The endoscopic image and the video display this gastric  carcinoma after more than 7 months of the first one.   Early Gastric Carcinoma.  Macroscopic details of the gastric ulcer of 1.3 cm. with  the gastric folds directed to the ulcer’s borders.  Transversal section shows the penetration level on the  submucosa.   Histologic pattern of gastric carcinoma of the signet ring cell type.

Sequence 6 of 7.

 Transversal section shows the penetration level on the
 submucosa. 

Sequence 7 of 7.

 Macroscopic image that shows the irregular ulcer.