Gastric Carcinoma

Question 1

where does it most commonly occur?

what is the risk factors?

Answer 1

• in the pylorus
• age
• male
• H. Pylori
• smoking
• Barretts Oesophagus
• Poor diet with high salt

Question 2

how might they present?

what is Troisiers sign?

Answer 2

• dyspepsia
• weight loss
• vomiting
• dysphagia
• Anaemia
• Virchow’s node

Question 3

what investigations can be done?

what is the staging?

Answer 3

• routine bloods
• endoscopy with biopsy
• TNM

Question 4

What is the management?

Answer 4

- Supportive care 
(pain, nausea, constipation, mouth care) 
- total gastrectomy
- perioperative chemoradiotherapy 
- palliative care