Review
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Nov 21, 2014; 20(43): 16159-16166
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16159
Table 1 Clinicopathologic features of intestinal, gastric and diffuse types of distal gastric adenocarcinomas
Intestinal-type adenocarcinomaGastric-type adenocarcinomaDiffuse-type carcinoma
AgeOld ageOld ageYoung age
Sex
(Male: Female)2:1Unknown data1:1
Precancerous conditionCorpus-predominantCorpus-predominantPangastritis
gastritis with intestinalGastritis with pseudopyloric
metaplasiametaplasia
Precancerous lesionIntestinal-type adenomaPyloric-gland adenomaTubular-neck dysplasia:
signet-ring cell in situ
Gross featureExophytic lesionExophytic lesionUlcerative lesion and
linitis plastic
MicroscopyTubulopapillary glandsTubulopapillary glands lined by columnar cells with clear mucinous cytoplasmDiscohesive cells or signet ring cells
lined by columnar cells
with eosinophilic cytoplasm
ImmunohistochemistryCD10 and MUC2MUC5ACVariable positivity for MUC1, MUC2, MUC5AC, MUC6
immunoreactivityimmunoreactivity
Liver metastasisFrequentRareRare
Peritoneal spreadRareFrequentFrequent
Malignant potentialLowHighHigh