This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
Histologic examination of the lesion in stomach reveal fat-laden cells, likely cause is - 
Select and explain. 
A. Lymphoma, B. Post gastrectomy, C. Signet-cell carcinoma stomach, D. Atrophic gastritis
D: Atrophic gastritis
Answer: D: Atrophic gastritis 
Explanation: Lipid-laden macrophages (foam cells) are seen in xanthomatosis of the stomach.

Xanthomatosis of stomach

It is characterized by a collection of lipid-laden macrophages (foam cells), forming plaques or nodules.
Gastric xanthomatosis is more common in patients with : -

1. Gastritis
2. Gastric ulcer 
3. Deudenogastric reflux after gastric surgery.