Gastric/Stomach Cancer Flashcards
How does gastric cancer develop?
Develops through phases of intestinal metaplasia & dysplasia
What is gastric cancer associated with?
H.pylori infection
What is the histology of the tumour in gastric cancer?
Adenocarcinoma
4 types of spread
Direct
Lymphatic
Blood - liver
Transcoelomic spread
What is transcoelomic spread?
Spread within peritoneal cavity
What is the prognosis of gastric cancer?
<20% 5 year survival
4 symptoms of gastric cancer?
Dyspepsia
Early satiety
Nausea & vomiting
Weightloss
3 signs of gastric cancer?
GI bleeding
Iron deficiency anaemia
Gastric outlet obstruction
3 investigations for gastric cancer?
What should these be followed by?
Endoscopy
Biopsy
CT scan
Fallow with MDT discussion
What are the purpose of endoscopy & biopsy?
Histological diagnosis
What is the purpose of the CT scan?
Staging
What ate the 2 main forms of treatment?
Surgery
Chemotherapy
4 types of surgery for gastric cancer?
Subtotal gastrectomy
Total gastrectomy
Laparoscopic distal gastrectomy
Open gastrectomy
