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Gastric Cancer

 Syn. Malignant neoplasm of stomach , Cancer of stomach , Gastric malignancy

Signs & Symptoms

 Epigastric pain #early_gastric_cancer
Ref: Uptodate [ Clinical manifestations of peptic ulcer disease] Cecil [ 599]
Slight nausea
Ref: Harrison [ 569]
Odynophagia
Ref: Uptodate [ Clinical manifestations of peptic ulcer disease]
Palpable abdominal mass #Advanced_gastric_cancer
Ref: Uptodate [ Clinical manifestations of peptic ulcer disease] Harrison [ 569]

Physical Examination

 Weight loss #Advanced_gastric_cancer #initial_diagnosis
Ref: Uptodate [ Clinical features, diagnosis, and staging of gastric cancer] Uptodate [ Clinical manifestations of peptic ulcer disease] Harrison [ 569] Cecil [ 376]
Palpable abdominal mass #Advanced_gastric_cancer
Ref: Uptodate [ Clinical manifestations of peptic ulcer disease] Harrison [ 569]
Jaundice
Ref: Uptodate [ Clinical manifestations of peptic ulcer disease]

Lab / Serology

 Occult gastrointestinal bleeding
Ref: Uptodate [ Clinical features, diagnosis, and staging of gastric cancer] Harrison [ 569]
Jaundice
Ref: Uptodate [ Clinical manifestations of peptic ulcer disease]
Passage of recently ingested material in stool #Advanced_gastric_cancer #Spread
Ref: Uptodate [ Clinical features, diagnosis, and staging of gastric cancer]

Imagin Study

 Colonic obstruction #Advanced_gastric_cancer #Spread
Ref: Uptodate [ Clinical features, diagnosis, and staging of gastric cancer]
Malignant ascites #Advanced_gastric_cancer #Spread
Ref: Harrison [ 569] Cecil [ 599]

Complication

Risk Factors

 N-nitroso compounds
Ref: Epocrates [ https://online.epocrates.com/diseases/26432/Stomach-cancer/Risk-Factors]
Cigarette smoking
Ref: Unknown [ 0]
Elder
Ref: Epocrates [ https://online.epocrates.com/diseases/264/Gastric-cancer-Stomach-cancer]

Cause

 H. pylori infection is the cause
Ref: Harrison [ 445]

Other