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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

Outline the management of gastric cancer

Majority unfit for surgery, treatment is palliative chemo.

If deemed curable, treatment depends on staging:
-Early: Radical gastrectomy, pre/post-op chemo
-Advanced: Pre/post-op chemo