Gastric Carcinoma Flashcards
1
Q
What system do you use to classify gastric carcinomas?
A
Borrmann classification
1) polypoid/fungating
2) excavating
3) ulcerating and raised
4) linitis plastica (leather-bottle like thickening of the stomach wall)
2
Q
What symptoms demand investigation for gastric cancer?
A
> 1 month dyspepsia in >50 year olds
3
Q
What are the 5 main symptoms of gastric cancer?
A
Dyspepsia weight loss vomiting dysphagia anaemia
4
Q
What four signs suggest incurable gastric cancer
A
Epigastric mass
hepatomegaly
jaundice
ascites
Also:
Vichow’s node (Troisier’s sign)
Acanthosis nigricans
5
Q
What is the main investigation for gastric cancer?
A
Gastroscopy + ulcer edge biopsies
6
Q
What is the 5 year survival of Gastric Cancer?
A
<10%
20% for those that have undergone radical surgery
