Borrmann

classification of advanced gastric carcinoma

Classifies advanced gastric carcinoma by macroscopic morphology.

vigenteGastric pathology consensuscurrent1926CT, Fluoroscopy

Aplicar o Borrmann a um achado

Descreva o achado como no laudo. A resposta aponta uma das categorias publicadas, com a probabilidade e o trecho que a decide.

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Categorias

Reescritas a partir da fonte e citadas
I
1 de 4

Type I, polypoid

Polypoid, mass-forming tumor that is sharply demarcated from the adjacent normal mucosa.

RiscoGrouped with type II as the more favorable category: combined type I and II 3-year and 5-year survival of 67.8% and 57.2% in the cited cohort (the best in that series).
verificadoPrognostic impact of Borrmann classification on advanced gastric cancer: a retrospective cohort from a single institution in western ChinaPMC7427284 (Song et al., World J Surg Oncol 2020), 'Classification of advanced gastric cancer according to Borrmann type' section (criteria) and Results (survival); descriptor corroborated by PMC3418539.
II
2 de 4

Type II, ulcerated with raised margins

Ulcerated carcinoma whose margins are sharply demarcated and raised/elevated, without infiltration into the surrounding wall.

RiscoReported jointly with type I (type I plus II): 3-year and 5-year survival of 67.8% and 57.2% in the cited cohort (most favorable group).
verificadoPrognostic impact of Borrmann classification on advanced gastric cancer: a retrospective cohort from a single institution in western ChinaPMC7427284, 'Classification of advanced gastric cancer according to Borrmann type' section (criteria) and Results (survival).
III
3 de 4

Type III, ulcerated and infiltrating

Ulcerated carcinoma with indefinite, ill-defined margins that infiltrates into the surrounding gastric wall.

RiscoIntermediate-to-poor: 3-year and 5-year survival of 59.0% and 48.5% in the cited cohort (lower than type I plus II); types III and IV are described as showing more aggressive behavior.
IV
4 de 4

Type IV, diffusely infiltrating (linitis plastica)

Carcinoma with diffuse infiltration of the gastric wall, in which ulceration is generally not a feature; referred to as linitis plastica when most of the wall is involved (notably in signet-ring-cell carcinoma).

RiscoWorst prognosis: 3-year and 5-year survival of 37.9% and 28.9% in the cited cohort (lowest in the series).
verificadoPrognostic impact of Borrmann classification on advanced gastric cancer: a retrospective cohort from a single institution in western ChinaPMC7427284, classification section and Results/Discussion (survival); linitis plastica equivalence corroborated by PMC3418539, 'Early and advanced gastric carcinoma' section.
Lógica de decisão estruturada
{
  "categories": [
    "I",
    "II",
    "III",
    "IV"
  ]
}

Referência, não é dispositivo médico. Confira a publicação primária vigente. O radiologista que assina o laudo continua autor e responsável.