Q) According to Siewert classification tumors at GE junction are
a) Type I
b) Type II
c) Type III
d) Type IV
Answer b Type I Lower (center located within between 1-5cm above the anatomic OGJ) Type II Real GE junction (within 1cm above and 2cm below the OGJ) Type III (2-5cm below OGJ) This classification has only 3 subtypes According to the Siewert-Stein classification, Type I tumour 25% approx Type II - Most common 49% Type III was present in 25% This classification helps in deciding the operative management and unified pre op classification Types of Surgery Type I cancer--depending of the size of the tumour--distal 2/3 oesophagectomy with the resection of the proximal lesser curve of the stomach or total gastrectomy or THE In patients with types II and III cancers total gastrectomy More ref 