Gastric Cancer Flashcards
1
Q
Gastric Cancer Aetiology:
A
Previous Gastric Resection Premalignant Gastric Pathology Infection - H. pylori Diet Biliary Reflux Smoking Family History
2
Q
Histology of Gastric Cancer
A
Adenocarcinoma:
Signet ring cells may be seen in gastric cancer
3
Q
Spread of Gastric Cancer
A
Direct
Lymphatic
Blood
Transcoelomic
4
Q
Histological changes in Gastric Cancer
A
- Normal
- Chronic Gastritis
- Intestinal Metaplasia
- Dysplasia
- Gastric Cancer
5
Q
How common is Gastric Cacner?
A
2nd most common GI cancer
6
Q
Peak age of diagnosis of Gastric Cancer
A
70-80 years
7
Q
Gastric Cancer - M:F
A
Men:Women
2:1
8
Q
5 year survival Gastric Cancer
A
< 20%
9
Q
Gastric Cancer Symptoms
A
Dyspepsia (Indigestion Dysphagia (difficult to swallow) Weight Loss Vomiting Blood in Stool (if advanced).
10
Q
Gastric Cancer Signs
HAJE L
A
Hepatomegaly Ascites Jaundice Epigastric Mass Left Supraclavicular Lymphadenopathy
11
Q
Gastric Cancer Investigations:
A
Endoscopy with Biopsy (diagnostic) CT or endoscopic ultrasound (staging) Contrast Meal (Barium Swallow).
12
Q
Gastric Cancer Treatment:
A
- Gastrectomy - (Open, Laparoscopic, Subtotal, Total)
- Chemotherapy
- Radiotherapy.
