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Prechemotherapy studies. A Upper gastrointestinal endoscopy image showing a Type 4 advanced gastric carcinoma extending to the lesser curvature of the gastric body. B Contrast-enhanced computed tomography image showing diffuse gastric wall thickening with contrast effect on the lesser curvature of the gastric body. C Staging laparoscopy photograph showing that the tumor is exposed to the serosa. D Photograph showing dissemination to the round ligament of the liver
