Gastric cancer Flashcards
1
Q
histological type?
A
adenocarcinoma
2
Q
aetiology?
A
- Previous H.Pylori infection
- smoking
- certain foods
- FH
- Previous gastric resection
3
Q
Epidemiology?
A
- 2nd commonest cancer of alimentary tract
- most common in 50-70
- M>F
4
Q
Symptoms?
A
- wt loss
- abdo pain
- dysphagia (if tumour proximal/ in GOJ)
- dyspepsia
- early satiety
- N&V
5
Q
Signs?
A
- epigastric mass
If mets:
- hepatomegaly or palpable virchows node
6
Q
Ix?
A
- endoscopy w biopsy
- CT chest /abdo to stage
7
Q
Spread?
A
- Direct- spread to surrounding structures
- Lymphatic- spread to regional lymph nodes
- Blood spread- Liver
- Transcoelomic spread- spread within peritoneal cavity
8
Q
mX?
A
Surgical and chemo
9
Q
complications?
A
- bleeding
- obstruction
10
Q
what is a complication post gastrectomy?
A
“dumping syndrome”
when stomach empties its contents into duodenum faster than normal, also known as rapid gastric emptying. People experience symptoms like nausea and abdominal cramping
11
Q
prognosis?
A
v poor –> 5 year survival less than 20%
