Gastric Carcinoma

Question 1

Two Subtypes of Gastric Carcinoma

Answer 1

• Intestinal

- Diffuse

Question 2

Most Important Risk Factor for Intestinal GC

Answer 2

-Infection with H. Pylori (MOST COMMON)

Question 3

Important Risk Factors for GC

Answer 3

• Diet w/ Nitrites, Smoked/salted foods, or no fruit/vegetables
• CHRONIC GASTRITIS
• Partial Gastrectomy
• Pre-existent Gastric Adenomas
• Barrett Esophagus
• Family history of gastric cancer OR HNPCC OR E-Cadherin mutation

Question 4

Epidemiology of Gastric Carcinoma

Answer 4

• Males are slightly more affected than females
• Blacks, Native Americans, and Hawaiians are more affected in the US
• Occurs often in patients of low SES
• SECOND MOST COMMON TUMOR IN THE WORLD

Question 5

Sister Mary Joseph Nodule

Answer 5

Periumbilical Lymphadenopathy

Question 6

Virchow’s Node

Answer 6

Supraclavicular Lymphadenopathy