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. Postgastrectomy, C. Signet-cell carcinoma stomach, D. Atrophic gastritis
D: Atrophic gastritis
Answer: D: Atrophic gastritis 
Explanation: Ans. is 'D' i.e., Atrophic gastritis Lipid- laden macraphages (foam cells) are seen in xanthomatosis of stomach. Xanthomatosis of stomach It is characterized by collection of lipid laden macrophages ( foam cells), forming plaques or nodules. o Gastric xanthomatasis is more common in patients with : ? 1. Gastritis 2. Gastric ulcer 3. Duodenogastric reflux ofter gastric surgery.