Gastric Cancer Flashcards
1
Q
Risk factors for gastric cancer
A
Helicobacer pylori
triggers inflammation of the mucosa → atrophy and intestinal metaplasia
atrophic gastritis
diet
salt and salt-preserved foods
nitrates
smoking
blood group
2
Q
Clinical features of gastric cancer
A
abdominal pain
epigastric pain
may present as dyspepsia
weight loss and anorexia
nausea and vomiting
dysphagia: particularly if the cancer arises in the proximal stomach
overt upper gastrointestinal bleeding is seen only in a minority of patients
3
Q
If lymphatic spread of gastric cancer where does this go to ?
A
if lymphatic spread:
left supraclavicular lymph node (Virchow’s node)
periumbilical nodule (Sister Mary Joseph’s node)
4
Q
What is seen on biopsy of gastric cancer ?
A
Esophageo- gastro - duodenoscooy
= signet ring cell
