The Gastric Precancerous Cascade

Overview

Journal J Dig Dis

Specialty Gastroenterology

Date 2011 Dec 23

PMID 22188910

Citations 336

Authors

Pelayo Correa

M Blanca Piazuelo

Affiliations

Soon will be listed here.

Abstract

Invasive gastric carcinoma is preceded by a cascade of precancerous lesions. The first recognized histologic change is active chronic inflammation, which may persist as such: non-atrophic chronic gastritis (no gland loss), or advance to multifocal atrophic gastritis (MAG), the first real step in the precancerous cascade. The following steps are: intestinal metaplasia (first "complete" and then "incomplete"); dysplasia, first low grade and then high grade (equivalent to "carcinoma in situ"). The following step is invasive carcinoma, which is thought to be associated with degradation of the intercellular matrix.

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