Linitis plastica classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

Linitis plastica is a subtype of gastric cancer. Stomach cancer is classified by the microscopic aspect using Lauren's criteria into intestinal type and diffuse type adenocarcinoma. Another form of classification, known as Bormann classification uses the gross aspect of the tumor for classification. Linitis plastica is often categorized as a Bormann type 4 tumor, however, this classification does not account for meandering hypertrophic mucosal folds and the tumors are usually localized. Therefore, Lauren's classification will be demonstrated here.

Classification

  • Stomach adenocarcinoma may be classified by Lauren's criteria into 4 groups:[1]
    • Intestinal type
    • Diffuse type (linitis plastica)
    • Mixed
    • Indeterminate types


 
 
 
 
 
 
 
 
 
 
Stomach cancer classification by Lauren's criteria
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Intestinal type
 
 
 
Diffuse type (linitis plastica)
 
 
 
 
 
Mixed type
 
 
 
Indeterminate type

References

  1. Ma J, Shen H, Kapesa L, Zeng S (2016). "Lauren classification and individualized chemotherapy in gastric cancer". Oncol Lett. 11 (5): 2959–2964. doi:10.3892/ol.2016.4337. PMC 4840723. PMID 27123046.


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