Stomach cancer

Question 1

Clinical features:

Answer 1

usually asymptomatic early

consider if recent onset dyspepsia in middle age

dysphagia a late sign

onset of anaemia

Question 2

DxT:

Answer 2

malaise + anorexia + dyspepsia + weight loss

Question 3

DxT:

Answer 3

triple loss of appetite + weight + colour

Question 4

Diagnosis

Answer 4

Endoscopy and biopsy is optimal test

Question 5

Treat by

Answer 5

surgical excision:

may be curative if diagnosed early

• 5-yr survival 25%.