Flashcards in Gastro-duodenal disorders Deck (36)
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31
Name 4 symptoms of gastric cancer
Dyspepsia
Weight loss, anorexia, and lethargy
Abdominal pain
Iron deficiency anaemia
Upper GI bleeding
Dysphagia (uncommon unless involving gastro-oesophageal junction)
32
Name 2 signs of gastric cancer
Weight loss
Palpable epigastric mass
Troisier's sign (palpable left supraclavicular LN) ➔ metastases
33
How is gastric cancer investigated?
FBC and LFTs
Endoscopy
Barium swallow
34
Where does gastric cancer commonly metastasise?
Lungs
Liver
Lymph nodes
Oesophagus
(Krukenberg tumour of the ovaries)
Indicted by Troisier's sign
35
What is the prognosis of gastric cancer in the UK?
Majority of gastric cancers are metastatic or unresectable upon presentation.
36