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5 Cards in this Set
- Front
- Back
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Gastric Cancer: Risk factors
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Male
High salt/nitrate diet Smoked meats H pylori Pernicious anemia Reduced stomach acid (hypochlorohydria) Gastrectomy |
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List the gastric lymph node drainage
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Perigastric LN
Gastroduodenal LN Paraaortic LN Celiac axis Porta-hepatic Suprapancreatic Splenic hilum If GE junction: Add distal esophageal |
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Gastric Histologies
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90% adenocarcinoma
Others = sarcoma, GIST, carcinoid, small cell, MALT lymphoma, leiomyosarcoma |
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Gastric cancer presentation
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Dysphagia, indigestion, early satiety, anorexia, nausea, abdominal pain, weight loss, anemia, hematemesis, melena, elevated CEA (1/3)
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Gastric cancer work-up
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H&P
Labs: LFTs, BUN/Cr, CEA, H. Pylori EGD EUS CT abdomen Chest imaging As indicated: PET, bone scan, CT pelvis, laparoscopy, renal perfusion scan |
