Gastric Adenocarcenoma:
- 95% of all malignant gastric neoplasms
- Twice as common in men as it is in women,.
- Increases with age, peaking in the seventh decade.
- More at gastric cardia
Risk factors:
- Nutritional
- Environmental
- Social
- Medical
- left supraclavicular lymph virchow signZ OSPE
- sister
S/S
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Significant GI bleeding is rare
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15% of patients may develop hematemesis,
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40% of patients are anemic.
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Physical signs develop late & associated with locally advanced or metastatic disease.
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Palpable abdominal mass,
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Palpable supraclavicular (Virchow’s)
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Periumbilical (Sister Mary Joseph’s) lymph node,
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Peritoneal metastasis palpable by PR (Blummer’s shelf),
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Palpable ovarian mass (Krukenberg’s tumor).