There have been many names similar to the name of scirrhous gastric cancer, and for a correct endoscopic diagnosis, an understanding of the delicate differences between these names is necessary. Another prerequisite is a thorough knowledge of the pathological/macroscopic morphology. In endoscopy examination accompanied by frequent belching, there is often a normal stomach with much tension, so one should always keep in mind the possibility of scirrhous gastric carcinoma. Since there is severe stenosis in such scirrhous gastric cancers, one can only observe the cardiac orifice side, and the biopsy may show false negative. For an improved prognosis, discovery and treatment in the very early stages is the only way.