Abstract

In Costa Rica gastric adenocarcinoma is the second leading cause of cancer-related death. The development of this malignancy is a complex multistep process involving numerous genetic alterations. Gastric cancer development proceeds through three different molecular pathways: the chromosomal instability (CIN) pathway, the mutator phenotype (or microsatellite instability pathway, MSI) pathway and the CpG island methylator phenotype (CIMP) pathway. The mutator phenotype pathway is characterized by frequent mutations in regions of the DNA containing microsatellite sequences.

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