77 years old | Male
A 77-year-old man presents to his primary care physician with weight loss of 15 pounds and a 3-month history of dysphagia and abdominal pain. The only abnormal finding on physical examination is stools positive for occult blood. He is referred for an upper endoscopy, which shows an exophytic, ulcerated mass in the cardia of the stomach. Biopsy reveals moderately differentiated adenocarcinoma.
weight loss | dysphagia | 3 months | abdominal pain | occult blood
Gastric Cancer Stomach cancer
https://online.epocrates.com/diseases/264/Gastric-cancer
Rank |
Disease |
Weight |
|---|---|---|
| 1 | Esophagitis | 241.0 |
| 2 | pancreatic cancer | 237.0 |
| 3 | Mesenteric ischemia | 193.0 |
| 4 | Muscle Layer Eosinophilic gastroenteritis | 181.0 |
| 5 | Brucellosis | 180.0 |
| 6 | Psoas Abscess | 179.0 |
| 7 | Giardiasis | 175.0 |
| 8 | mucosal Eosinophilic gastroenteritis | 173.0 |
| 9 | Systemic lupus erythematosus | 173.0 |
| 10 | Chronic Pancreatitis | 169.0 |
| 11 | Salmonella infection | 169.0 |
| 12 | Crohn Disease | 168.0 |
| 13 | Intestinal Entamoeba histolytica amebiasis | 168.0 |
| 14 | Intussusception | 166.0 |
| 15 | Amebic Liver Abscess | 166.0 |
| 16 | Sarcoidosis | 162.0 |
| 17 | subserosal eosinophilic gastroenteritis | 159.0 |
| 18 | Celiac Disease | 157.0 |
| 19 | Acute peptic ulcer | 157.0 |
| 20 | Adrenal crisis | 156.0 |
| 21 | Addison Disease | 151.0 |
| 22 | Zollinger-Ellison Syndrome | 149.0 |
| 23 | Intestinal Obstruction | 148.0 |
| 24 | Tuberculous Peritonitis | 145.0 |
| 25 | Diabetic Amyotrophy | 144.0 |
| 26 | Listerial gastroenteritis | 142.0 |
| 27 | Gastric cancer | 140.0 |
| 28 | Churg-Strauss Syndrome | 140.0 |
| 29 | Infectious mononucleosis | 140.0 |
| 30 | Campylobacter infection | 139.0 |
| 31 | Liver Cirrhosis | 135.0 |
| 32 | Renal and perinephric abscess | 135.0 |
| 33 | Toxic Megacolon | 134.0 |
| 34 | Intestinal malrotation | 133.0 |
| 35 | Alcoholic Liver Disease | 131.0 |
| 36 | Non-small cell lung cancer | 131.0 |
| 37 | Renal Cell Carcinoma | 130.0 |
| 38 | Acute intermittent porphyria | 130.0 |
| 39 | Gastric Volvulus | 129.0 |
| 40 | Sigmoid volvulus | 129.0 |
| 41 | Duodenal Ulcer | 126.0 |
| 42 | Gastric Ulcer | 126.0 |
| 43 | Acute Clonorchiasis | 125.0 |
| 44 | Acute Appendicitis | 124.0 |
| 45 | Pyogenic Liver Abscess | 123.0 |
| 46 | Ovarian Cancer | 123.0 |
| 47 | Shigellosis | 123.0 |
| 48 | Primary biliary cirrhosis | 122.0 |
| 49 | Graves Disease | 122.0 |
| 50 | Peritoneal dialysis associated peritonitis | 122.0 |
| 51 | Gastric Outlet Obstruction | 121.0 |
| 52 | Biliary cirrhosis | 120.0 |
| 53 | Primary sclerosing cholangitis | 120.0 |
| 54 | Ulcerative Colitis | 120.0 |
| 55 | Gallbladder cancer | 119.0 |
| 56 | Endometriosis | 118.0 |
| 57 | Irritable Bowel Syndrome | 117.0 |
| 58 | Colorectal cancer | 115.0 |
| 59 | Granulomatosis with polyangiitis | 114.0 |
| 60 | Peptic Ulcer | 113.0 |
| 61 | Cholangiocarcinoma | 112.0 |
| 62 | Bacterial gastroenteritis | 112.0 |
| 63 | Acute pyelonephritis in adults | 112.0 |
| 64 | Alcoholic hepatitis | 110.0 |
| 65 | Aortic Dissection | 108.0 |
| 66 | Hyperthyroidism | 107.0 |
| 67 | Eosinophilic gastroenteritis | 106.0 |
| 68 | Polyarteritis nodosa | 106.0 |
| 69 | Alcoholic Liver Cirrhosis | 105.0 |
| 70 | Hereditary Angioedema | 105.0 |
| 71 | Anthrax | 103.0 |
| 72 | Alcoholic Fatty Liver | 102.0 |
| 73 | Klebsiella pneumoniae liver abscess | 102.0 |
| 74 | Hepatocellular carcinoma | 102.0 |
| 75 | Wilson disease | 102.0 |
| 76 | Malt lymphoma | 101.0 |
| 77 | Liver disease | 100.0 |
| 78 | Typhoid infection | 100.0 |
| 79 | Anaphylaxis | 100.0 |
| 80 | Acute Myeloid Leukemia in adults | 98.0 |
| 81 | Hyperosmolar Hyperglycemic state | 97.0 |
| 82 | Hemolytic uremic syndrome | 97.0 |
| 83 | Gastrointestinal Hemorrhage | 95.0 |
| 84 | Lower gastrointestinal hemorrhage | 95.0 |
| 85 | Upper gastrointestinal hemorrhage | 95.0 |
| 86 | Systemic sclerosis | 94.0 |
| 87 | Anemia of chronic disease | 94.0 |
| 88 | Amyloidosis | 94.0 |
| 89 | Foreign body ingestion | 93.0 |
| 90 | Gastroparesis | 92.0 |
| 91 | Pneumonia | 92.0 |
| 92 | Adrenocortical carcinoma | 91.0 |
| 93 | Chronic bacterial prostatitis | 91.0 |
| 94 | Autosomal Dominant Polycystic Kidney Disease | 90.0 |
| 95 | Bacterial pharyngitis | 90.0 |
| 96 | Acute Lymphoblastic leukemia in children | 88.0 |
| 97 | Short bowel syndrome | 88.0 |
| 98 | Urinary Tract Obstruction | 87.0 |
| 99 | Pheochromocytoma | 87.0 |
| 100 | Ectopic Pregnancy | 86.0 |
| 101 | Ruptured ectopic pregnancy | 86.0 |
| 102 | Food poisoning | 84.0 |
| 103 | Fibromyalgia | 84.0 |
| 104 | Biliary cyst | 83.0 |
| 105 | Choledochal Cyst | 83.0 |
| 106 | Gastroesophageal reflux disease | 82.0 |
| 107 | Parkinson disease | 82.0 |
| 108 | Lung Cancer | 81.0 |
| 109 | Chronic heart failure | 81.0 |
| 110 | Acute Cholangitis | 81.0 |
| 111 | Acute Cholecystitis | 81.0 |
| 112 | Emphysematous cholecystitis | 81.0 |
| 113 | Rumination Syndrome | 80.0 |
| 114 | Toxic thyroid adenoma | 80.0 |
| 115 | Laryngeal Cancer | 79.0 |
| 116 | Foodborne E coli infection | 78.0 |
| 117 | Non-ST-elevation myocardial infarction | 78.0 |
| 118 | Multiple Sclerosis | 78.0 |
| 119 | Pancreatic Pseudocyst | 77.0 |
| 120 | Cystic Fibrosis | 77.0 |
| 121 | Lactose intolerance | 77.0 |
| 122 | Clonorchiasis | 75.0 |
| 123 | Inflammatory Bowel Diseases | 75.0 |
| 124 | Adrenal Suppression | 75.0 |
| 125 | Acalculous Cholecystitis | 75.0 |
| 126 | chronic acalculous cholecystitis | 75.0 |
| 127 | Ruptured ovarian cyst | 75.0 |
| 128 | Acute perforated appendicitis | 74.0 |
| 129 | Budd Chiari Syndrome | 73.0 |
| 130 | Type 1 Diabetes mellitus | 73.0 |
| 131 | Achalasia | 73.0 |
| 132 | Zenker diverticulum | 73.0 |
| 133 | Chronic Kidney Diseases | 73.0 |
| 134 | Multiple endocrine neoplasia 2A | 73.0 |
| 135 | Kawasaki disease | 73.0 |
| 136 | Peutz-Jeghers Syndrome | 72.0 |
| 137 | Diabetes Mellitus | 71.0 |
| 138 | Oropharyngeal cancer | 71.0 |
| 139 | Kidney stones | 71.0 |
| 140 | Autoimmune hepatitis | 70.0 |
| 141 | Amebiasis | 70.0 |
| 142 | Extraintestinal Entamoeba histolytica amebiasis | 69.0 |
| 143 | Familial adenomatous polyposis syndrome | 68.0 |
| 144 | Ileus | 67.0 |
| 145 | Primary Myelofibrosis | 67.0 |
| 146 | Hiatus hernia | 67.0 |
| 147 | Bladder Cancer | 66.0 |
| 148 | Cholera | 66.0 |
| 149 | Oral candidiasis | 65.0 |
| 150 | Limited cutaneous systemic sclerosis | 65.0 |
| 151 | Tetanus | 65.0 |
| 152 | Acute Renal vein thrombosis | 65.0 |
| 153 | Ruptured Tuboovarian abscess | 64.0 |
| 154 | Diverticulitis | 64.0 |
| 155 | Chronic Myeloid Leukemia | 64.0 |
| 156 | Acute viral meningitis | 64.0 |
| 157 | Pelvic inflammatory disease | 63.0 |
| 158 | Acute pelvic inflammatory disease | 63.0 |
| 159 | Clostridium difficile infection | 63.0 |
| 160 | Autoimmune Pancreatitis | 62.0 |
| 161 | Glomerulonephritis | 62.0 |
| 162 | Intestinal Pseudo Obstruction | 62.0 |
| 163 | posteriorischemic optic neuropathy | 61.0 |
| 164 | Diabetic Ketoacidosis | 61.0 |
| 165 | Anaplastic thyroid cancer | 61.0 |
| 166 | Multiple Myeloma | 61.0 |
| 167 | Amphetamine use disorder | 61.0 |
| 168 | Secondary hyperparathyroidism | 61.0 |
| 169 | Pyelonephritis | 61.0 |
| 170 | Choledocholithiasis | 60.0 |
| 171 | Panic disorder in adults | 59.0 |
| 172 | Gastroenteritis | 59.0 |
| 173 | Rheumatoid Arthritis | 56.0 |
| 174 | Rocky Mountain spotted fever | 56.0 |
| 175 | Meckel diverticulum | 55.0 |
| 176 | Dyspepsia | 54.0 |
| 177 | COVID19 | 54.0 |
| 178 | Thrombotic thrombocytopenic purpura | 54.0 |
| 179 | Annular pancreas | 53.0 |
| 180 | Henoch-Schonlein purpura | 53.0 |
| 181 | Sialadenitis | 53.0 |
| 182 | Intraperitoneal bleeding | 53.0 |
| 183 | Intra-abdominal abscess | 53.0 |
| 184 | Acetaminophen overdose | 53.0 |
| 185 | Hepatic Encephalopathy | 52.0 |
| 186 | Ovarian and fallopian tube torsion | 52.0 |
| 187 | Spontaneous bacterial peritonitis | 52.0 |
| 188 | Analgesic nephropathy | 51.0 |
| 189 | Osteoporosis | 50.0 |
| 190 | Central hypothyroidism | 50.0 |
| 191 | Subdural hematoma | 50.0 |
| 192 | Tuboovarian abscess | 50.0 |
| 193 | Acute fatty liver of pregnancy | 50.0 |
| 194 | Breast Cancer | 50.0 |
| 195 | Thyroid lymphoma | 49.0 |
| 196 | Endometrial cancer | 49.0 |
| 197 | Chronic pyelonephritis | 49.0 |
| 198 | Chronic Hepatitis | 48.0 |
| 199 | Chronic Clonorchiasis | 48.0 |
| 200 | Ischemic optic neuropathy | 48.0 |
| 201 | anterior ischemic optic neuropathy | 48.0 |
| 202 | COPD Exacerbation | 48.0 |
| 203 | Non-cholera Vibrio infections | 47.0 |
| 204 | Gastritis | 46.0 |
| 205 | Cryptococcosis | 46.0 |
| 206 | Viral Gastroenteritis | 46.0 |
| 207 | Autosomal Recessive Polycystic Kidney Disease | 44.0 |
| 208 | Malaria | 44.0 |
| 209 | Endometritis | 43.0 |
| 210 | Aortic coarctation | 43.0 |
| 211 | Gallstones | 42.0 |
| 212 | Insect bites and stings | 42.0 |
| 213 | Oropharyngeal and esophageal candidiasis | 42.0 |
| 214 | Angiodysplasia of the colon | 42.0 |
| 215 | Common cutaneous drug reactions | 41.0 |
| 216 | Familial Mediterranean fever | 41.0 |
| 217 | Chronic fatigue syndrome | 41.0 |
| 218 | Epiploic appendagitis | 41.0 |
| 219 | Chronic pelvic pain in women | 41.0 |
| 220 | Leiomyomas | 40.0 |
| 221 | Hypothyroidism | 40.0 |
| 222 | Acute Cystitis(Men) | 40.0 |
| 223 | Urinary tract infection | 40.0 |
| 224 | Cystitis | 40.0 |
| 225 | Painless thyroiditis | 39.0 |
| 226 | Abetalipoproteinemia | 39.0 |
| 227 | Multiple endocrine neoplasia 2B | 39.0 |
| 228 | Influenza | 38.0 |
| 229 | Abnormal uterine bleeding | 38.0 |
| 230 | Systemic vasculitis | 38.0 |
| 231 | Hyperaldosteronism | 38.0 |
| 232 | Ankylosing spondylitis | 37.0 |
| 233 | Globus Sensation | 36.0 |
| 234 | STI HIV Pharyngitis | 36.0 |
| 235 | Obstructive Sleep Apnea | 36.0 |
| 236 | Guillain-Barre syndrome | 36.0 |
| 237 | Chronic Lymphocytic Leukemia | 36.0 |
| 238 | Disseminated intravascular coagulation | 36.0 |
| 239 | Prostatitis | 36.0 |
| 240 | Chronic prostatitis | 36.0 |
| 241 | Atopic dermatitis | 36.0 |
| 242 | Hyperprolactinemia | 35.0 |
| 243 | Acute bacterial meningitis in neonates | 35.0 |
| 244 | Chronic meningitis | 34.0 |
| 245 | Hereditary hemochromatosis | 34.0 |
| 246 | Menopause | 34.0 |
| 247 | Acute Lymphocytic Leukemia in Adults | 34.0 |
| 248 | Myasthenia Gravis | 34.0 |
| 249 | Neonatal Myasthenia Gravis | 34.0 |
| 250 | Congenital Myasthenic Syndromes | 34.0 |
| 251 | Cystic thyroid nodule | 34.0 |
| 252 | Bullous pemphigoid | 34.0 |
| 253 | Abdominal compartment syndrome | 34.0 |
| 254 | Ovarian Hyperstimulation Syndrome | 34.0 |
| 255 | Hypertriglyceridemia | 34.0 |
| 256 | Inguinal hernia | 33.0 |
| 257 | Intrahepatic cholestasis of pregnancy | 33.0 |
| 258 | Stable angina | 32.0 |
| 259 | Graves ophthalmopathy | 32.0 |
| 260 | Dubin-Johnson syndrome | 32.0 |
| 261 | Hyperparathyroidism | 31.0 |
| 262 | Prolactinoma | 31.0 |
| 263 | Heparin-induced thrombocytopenia | 31.0 |
| 264 | Premature labor | 31.0 |
| 265 | Hepatorenal Syndrome | 30.0 |
| 266 | Osteomalacia | 30.0 |
| 267 | Eclampsia | 30.0 |
| 268 | Type 2 Diabetes mellitus | 29.0 |
| 269 | Unstable angina | 29.0 |
| 270 | Psychogenic polydipsia | 29.0 |
| 271 | Mallory-Weiss syndrome | 29.0 |
| 272 | Migraine headache in adults | 29.0 |
| 273 | Alzheimer disease | 29.0 |
| 274 | Hypogammaglobulinemia | 28.0 |
| 275 | Renal Artery Stenosis | 27.0 |
| 276 | Von willebrand disease | 27.0 |
| 277 | Acute Hepatitis | 26.0 |
| 278 | Simple kidney cyst | 26.0 |
| 279 | Animal bites | 26.0 |
| 280 | Peritonitis | 26.0 |
| 281 | Acute peritonitis | 26.0 |
| 282 | Enterovesical fistula | 26.0 |
| 283 | Obstructive cervical goiters | 25.0 |
| 284 | biliary SOD | 25.0 |
| 285 | Penis Carcinoma | 24.0 |
| 286 | Hypercalcemia | 24.0 |
| 287 | Acute Liver Failure | 24.0 |
| 288 | Testicular cancer | 24.0 |
| 289 | Optic neuritis | 24.0 |
| 290 | Neuropapillitis | 24.0 |
| 291 | Sphincter of Oddi Dysfunction | 24.0 |
| 292 | pancreatic SOD | 24.0 |
| 293 | Stevens-Johnson syndrome | 24.0 |
| 294 | Mitral Stenosis | 23.0 |
| 295 | Diabetic Neuropathy | 23.0 |
| 296 | biliary colic | 23.0 |
| 297 | Acute Cystitis(Women) | 23.0 |
| 298 | Osteoarthritis | 23.0 |
| 299 | Renal vein thrombosis | 23.0 |
| 300 | Chronic Renal vein thrombosis | 23.0 |
| 301 | Cholecystitis | 21.0 |
| 302 | Chronic Cholecystitis | 21.0 |
| 303 | Middle East respiratory syndrome | 21.0 |
| 304 | Blepharitis | 21.0 |
| 305 | Ischemic stroke | 20.0 |
| 306 | Acute pericarditis | 20.0 |
| 307 | Mirizzi Syndrome | 20.0 |
| 308 | Preeclampsia | 20.0 |
| 309 | Exocrine pancreatic insufficiency | 20.0 |
| 310 | Vaginitis | 20.0 |
| 311 | Urethritis | 20.0 |
| 312 | Phimosis | 20.0 |
| 313 | Paraphimosis | 20.0 |
| 314 | Travelers diarrhea | 20.0 |
| 315 | Acute bacterial meningitis in children | 19.0 |
| 316 | Splenic Infarction | 19.0 |
| 317 | Gout | 19.0 |
| 318 | Gallbladder Dyskinesia | 19.0 |
| 319 | Tinea versicolor | 19.0 |
| 320 | Hyperglycemia | 18.0 |
| 321 | Acromegaly | 18.0 |
| 322 | Primary hypogonadism | 18.0 |
| 323 | Secondary hypogonadism | 18.0 |
| 324 | Phenylketonuria | 18.0 |
| 325 | Osteomyelitis | 18.0 |
| 326 | Barrett esophagus | 18.0 |
| 327 | Rotor syndrome | 18.0 |
| 328 | Carpal Tunnel Syndrome | 18.0 |
| 329 | Acute Bacterial Prostatitis | 17.0 |
| 330 | Medullary thyroid cancer | 17.0 |
| 331 | Cushing syndrome | 16.0 |
| 332 | Umbilical hernia | 16.0 |
| 333 | Ascites | 16.0 |
| 334 | Splenic abscess | 16.0 |
| 335 | Splenic Rupture | 16.0 |
| 336 | Peroneal Neuropathy | 14.0 |
| 337 | Fungal meningitis | 14.0 |
| 338 | Substernal goiter | 14.0 |
| 339 | Common cold(adults) | 13.0 |
| 340 | Asthma | 13.0 |
| 341 | Extrahepatic Cholestasis | 13.0 |
| 342 | Intrahepatic Cholestasis | 13.0 |
| 343 | Acute Myeloid Leukemia in children | 13.0 |
| 344 | Non-alcoholic Fatty Liver Disease | 12.0 |
| 345 | Gilbert syndrome | 12.0 |
| 346 | Goiter | 11.0 |
| 347 | Diffuse nontoxic goiter | 11.0 |
| 348 | Toxic multinodular goiter | 11.0 |
| 349 | Cervical goiter | 11.0 |
| 350 | Secondary Peritonitis | 11.0 |
| 351 | ST-elevation myocardial infarction | 10.0 |
| 352 | Hemorrhagic stroke | 10.0 |
| 353 | Bed bugs | 10.0 |
| 354 | Gestational diabetes mellitus | 10.0 |
| 355 | Liver Abscess | 10.0 |
| 356 | Acne fulminans | 9.0 |
| 357 | Priapism | 9.0 |
| 358 | Tinnitus | 9.0 |
| 359 | Atypical pneumonia | 9.0 |
| 360 | Pseudohypoparathyroidism | 8.0 |
| 361 | Primary ciliary dyskinesia | 7.0 |
| 362 | Kartagener syndrome | 7.0 |
| 363 | Epididymo-orchitis | 6.0 |
| 364 | Acute Pancreatitis | 5.0 |
| 365 | Gallstone pancreatitis | 5.0 |
| 366 | Acute bacterial meningitis in adults | 5.0 |
| 367 | Diabetic Kidney Disease | 5.0 |
| 368 | Alopecia areata | 4.0 |
| 369 | Benign Prostatic Hyperplasia | 4.0 |
| 370 | Drowning | 4.0 |
| 371 | Acute Bronchitis | 3.0 |
| 372 | endocarditis | 1.0 |
| 373 | Hemorrhoids | 0.0 |
| 374 | Acne conglobata | 0.0 |
| 375 | Recurrent aphthous stomatitis | 0.0 |
| 376 | Immune thrombocytopenia | 0.0 |
| 377 | Discogenic low back pain | 0.0 |
| 378 | Androgenetic alopecia | 0.0 |
| 379 | Premenstrual syndrome | 0.0 |
| 380 | Nasal polyps | 0.0 |
| 381 | Visceral leishmaniasis | 0.0 |
| 382 | Labyrinthitis | 0.0 |
| 383 | Croup | 0.0 |
| 384 | Stable ischemic heart disease | 0.0 |
| 385 | Motion Sickness | 0.0 |
| 386 | Ovarian Torsion | 0.0 |
| 387 | Acute epididymitis | 0.0 |
| 388 | Hodgkin lymphoma | 0.0 |
| 389 | Musculoskeletal lower back pain | 0.0 |
| 390 | Acute disseminated encephalomyelitis | 0.0 |
| 391 | Bell palsy | 0.0 |
| 392 | Myoclonus | 0.0 |