One patient underwent subtotal gastrectomy with Roux-En-Y reconstruction given the tumor size (2.3 × 1.8 × 0.9 cm), intermediate grade (Ki-67 proliferation index of 12%), invasion of the submucosa, and multifocal stage 2 disease despite the presence of atrophic gastritis. Here, MKI67 is linked to chronic atrophic gastritis.