Which statement about the site of chronic gastric ulcers is correct?

• A Most occur on the greater curvature of the body
• B Site has no bearing on the probability of malignancy
• C Most occur within 2 cm of the pylorus on the anterior wall
• D Most occur on the lesser curvature near the incisura angularis ✓

Explanation

The classical chronic gastric ulcer lies on the lesser curvature just proximal to the incisura angularis, where the acid stream bathes the mucosa and where mucosal blood flow is relatively poor. Greater curvature and high cardia ulcers are less common but carry higher suspicion of malignancy, so site does matter. Anterior prepyloric ulcers are more typical of duodenal-type acid hypersecretion patterns.

Reference: Bailey and Love's Short Practice of Surgery, 27th ed.

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Written and medically reviewed by the StethoPrep medical team.