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. 2019 Oct;31(5):707–737. doi: 10.21147/j.issn.1000-9604.2019.05.01

A1.

Gross classification of gastric cancer

Type Description
Gross classification of early gastric cancer (Paris classification)
Protruded type (0−I) Type 0−I is subcategorized to Type 0−Ip for pedunculated growth and Type 0−Is for sessile growth.
Superficial type (0−II) Type 0−II is subcategorized into Type 0−IIa for slightly elevated growth, Type 0−IIb for flat growth, and Type 0−IIc for slightly depressed growth. According to the elevation/depression proportion, the lesions with both superficial elevation and depression are classified into Types IIc + IIa for the elevated area in a depressed lesion and Types IIa + IIc for a depressed area in an elevated lesion.
Excavated type (0−III) Lesions with both excavation and superficial excavation are classified into Type III + IIc for a large excavated lesion in a depressed zone and Type IIc + III for a small excavated zone in a depressed lesion, according to the proportion of excavation and superficial excavation.
Gross classification of advanced gastric cancer (Borrmann classification)
I Polypoid
II Fungating, ulcerated with sharply raised margins
III Ulcerated with poorly defined infiltrative margins
III Diffusely infiltrating