Stomach Flashcards
Smoking ↑ risk of gastric cancer …… Fold
1.5
EBV associated with gastric cancer - _– –%
5 - 10%
Bill Roth II higher risk than Bill Roth I, why?
Due to regurgitation of alkaline bile and pans. Juice
Linitis plastica, better diagnosed by
- Barium 2. CT 3. EUs
Malignant ulcer and cauliflower masses1, diagnosed by
Barium
Disadvantages of CT
Limited value in 1- depth of tumor invasion 2. LN metastasis
Most reliable non-surgical method for evaluating depth of invasion
Endoscopic US
Stage….. Invade muscularis propr.
T2
Stage….- tumor invade subsersol CT
T3
5-year survival rate of locoregional
70%
TTT of choice for gastric cancer
Surgical + safety margin + lymphadenectomy
Indication of endoscopic resection
I- No lympho-vascular invasion 2. Mucosal tumor 3. Differentiated histo. 4. < 20mm