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Gastric Cancer

3rd leading cause of cancer death in the world

Median age of diagnosis 70 years

Risk factor

  • Adenomatous gastric polyp
  • Chronic gastritis
  • Smoking
  • History of gastric surgery
  • EBV
  • Hp Infection

Clinical features

  • Early gastric cancer are asymptomatic in up to 80% of cases
  • Weight loss (60%)
  • Abdominal pain
  • Nausea
  • Vomiting
  • Anorexia
  • Dysphagia
  • Melena
  • Early satiety

Diagnosis

  • Upper gi endoscopy and biopsy
  • CT scan

Treatment

  • Surgery is the main treatment
  • Chemotherapy can be given in advanced cancer