- Stomach cancer
Definitions
- Cancer develops from the lining of the stomach
Main features
- Male to female ratio of 3:1
- Usually asymptomatic early
- Recent onset dyspepsia in middle age
- Dyspepsia unresponsive to treatment
- Vague fullness or epigastric distension
- Dysphagia
- Onset of anaemia
- Risk factors
- Increasing age
- blood group A
- smokers
- Atrophic gastritis
- Examination findings
- conjunctival pallor
- enlarged supraclavicular lymph node
- epigastric mass
- Hepatomegaly - hard and irregular edge
Diagnostic triad
- Malaise + anorexia + dyspepsia + weight loss = stomach cancer
- Triple loss of appetite + weight + colour = stomach cancer
Treatment
- surgical excision
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