Gastric cancer

Question 1

Gastric cancer RF’s

Answer 1

• high nitrates
• h pylori
• e cadherin (CDH1 loss) (associated with diffuse gastric cancer)

Question 2

CDH1 patient management

Answer 2

prophylactic gastrectomy

Question 3

T1a gastric management

Answer 3

Endoscopic or surgical resection (same as for esophageal)

Question 4

Management of R1 or R2 gastric cancer

Answer 4

CRT

Question 5

CPS threshold in gastric

Answer 5

5%

Question 6

second line for gastric

Answer 6

Ramucirumab +/- taxol

Question 7

Adjuvant management of gastric cancer according to D1 vs D2/D3

Answer 7

IF D1, need CRT
IF D2/3, CRT if node positive, other wise chemo alone

Question 8

Prevention of oxali induced neuropathy

Answer 8

• anecdotal evidence of cryotherapy, no robust data to support