Gastrointestinal Pathology · Pathology

The 'Signet ring' cell type of gastric adenocarcinoma is primarily associated with which of the following?

  1. Chronic H. pylori infection
  2. Diffuse growth pattern with linitis plastica
  3. Intestinal-type morphology with tubular gland formation
  4. Excessive dietary nitrate intake
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Correct answer: Diffuse growth pattern with linitis plastica

Diffuse gastric cancer (Lauren classification) is composed of discohesive cells that do not form glands. These cells often have large mucin vacuoles that push the nucleus to the periphery, creating a signet ring appearance and leading to a thickened, rigid stomach wall (linitis plastica).

Difficulty: Medium Question 4 of 20

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