gastric cancer Flashcards
1
Q
definition
A
mainly adenocarcinomas
2
Q
risk factors
A
modifiable:
- smoking
- drinking
- diet
non-modifiable:
- family history
- pernicious anaemia
- gastritis
- male
3
Q
presentation
A
- dyspepsia
- nausea and vomiting
- anorexia
- weight loss
- dysphagia
4
Q
investigations
A
gastroscopy with biopsy - TNM staging:
- what layer affected
- 0 - mucosa
- 4 - everything and serosa invaded
imagine - CT/MRI:
- looking for metastasis
laparoscopy - exploration
5
Q
management
A
- 3 cycles of chemo and surgery
surgery:
- proximal - gastrectomy
- distal - partial gastrectomy
- lymphadenectomy
pallitive - metastases
nutritional support
6
Q
when vitamin injection us required after recieving a gastrectomy
A
B12
7
Q
krunkenburg tumour
A
secondary ovarian matastasis from primary gastric cancer
