gastric cancer

Question 1

commonest site

Answer 1

gastro-oesophageal junction

Question 2

upper gastric cancer

Answer 2

gastro-oesophageal junction or gastric cardia

similar to adenocarcinoma of LO

Question 3

lower gastric cancer

Answer 3

non-cardia cancer
body and distal stomach
diffuse type

Question 4

diffuse type

Answer 4

younger patients
worse prognosis
presence of signet ring cells
all layers of gastric wall
non-distendable

Question 5

intestinal type gastric adenocarcinoma

Answer 5

70% of non-cardia cancer
elderly and eastern asia
normal mucosa > chronic gastritis > atrophic gastritis > intestinal metaplasia
h.pylori

Question 6

risk factors

Answer 6

male
smoking
family history
h.pylori

Question 7

presentation

Answer 7

weight loss
indigestion
vomiting
haematemesis
enlargement of left supraclavicular node