Borrmann · Gastrointestinal
Sistemas/Gastrointestinal

Borrmann Borrmann classification of advanced gastric carcinoma

vigente

Classifies advanced gastric carcinoma by macroscopic morphology.

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Escala de categorias
IIIIIIIV

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Procedência e vigência

Órgão emissor
Gastric pathology consensus
Versão
current
Ano
1926
Família
léxico
Tipo de lógica
flat
Modalidade
CT, Fluoroscopy
Fonte primária
Prognostic impact of Borrmann classification on advanced gastric cancer: a retrospective cohort from a single institution in western China · doi:10.1186/s12957-020-01987-5
Última verificação
2026-06-22
Última checagem
2026-06-22

Lógica de decisão

Forma estruturada (flat). Uma futura calculadora a lê; as categorias abaixo são a superfície legível.

Mostrar a lógica estruturada (JSON)
{
  "categories": [
    "I",
    "II",
    "III",
    "IV"
  ]
}

Categorias num relance

Cat.SignificadoCondutaRiscoFonte
I
Type I, polypoid
Polypoid, mass-forming tumor that is sharply demarcated from the adjacent normal mucosa.
Grouped 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).
PMC7427284 (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
Type II, ulcerated with raised margins
Ulcerated carcinoma whose margins are sharply demarcated and raised/elevated, without infiltration into the surrounding wall.
Reported 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).
PMC7427284, 'Classification of advanced gastric cancer according to Borrmann type' section (criteria) and Results (survival).
III
Type III, ulcerated and infiltrating
Ulcerated carcinoma with indefinite, ill-defined margins that infiltrates into the surrounding gastric wall.
Intermediate-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.
PMC7427284, classification section (criteria) and Results/Discussion (survival).
IV
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).
Worst prognosis: 3-year and 5-year survival of 37.9% and 28.9% in the cited cohort (lowest in the series).
PMC7427284, classification section and Results/Discussion (survival); linitis plastica equivalence corroborated by PMC3418539, 'Early and advanced gastric carcinoma' section.

Referências cruzadas

fronteira compartilhadaSiewert. Siewert classification of gastroesophageal junction adenocarcinomaBorrmann grades gastric carcinoma morphology; Siewert localizes gastroesophageal-junction adenocarcinoma.

Histórico de versões

Nenhum evento de versão registrado.

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