Gastric cancer: Prevention, screening and early diagnosis

Figure 2 Esophagogastroduodenoscopy of the same patient. A: The flat lesion in the background can been viewed more easily when better lit; B: Closer view of the superficial elevated lesion; C: After chromoendoscopy with indigo carmine - a roundish lesion 25 mm in diameter can be seen, with a smooth lobulated surface and a 6-mm, reddish protrusion in the distal part; type 0-IIa+Is according to Paris classification; D: Due to the marked inflammation and presence of intestinal metaplasia the precise proximal margin of the lesion is still unclear, even with the use of chromoendscopy.