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The prognosis of advanced gastric cancer (AGC) depends on a variety of different factors, including tumor size, depth of invasion, nodal metastases, and pathological type. Among these factors, depth of tumor invasion and nodal metastases are regarded as crucial for treatment planning, as well as determining patient prognosis (1-3). Many investigators have reported that gross classification of Borrmann type may also be a valuable clinicopathological factor. Li et al. (4) reported that the prognoses of patients with Borrmann type IV AGCs (infiltrative type) are significantly worse than those of patients with Borrmann type III AGCs (ulceroinfiltrative type), the 5-year survival rates of Borrmann types III and IV were 55.2 and 31.8%, respectively. Furthermore, presence of Borrmann type IV AGC is accepted as an independent prognostic factor of decreased patient survival (46). The vast majority of gastric cancers are characterized endoscopically prior to treatment; however, due to the lack of grossly Original Article

daehan yeongsang uihak hoeji/daehan yeongsang ui haghoeji

Advanced Gastric Cancer: Differentiation of Borrmann Type IV versus Borrmann Type III by Two-Phased Dynamic Multi-Detector Row CT with Use of the Water Filling Method