Thursday, 5 November 2015

Stomach Carcinoma | PGI MCQs for MD MS Preparations


True about stomach carcinoma 

A. Weight loss is commonest feature 
B. Secondaries are most commonly seen in peritoneum & omentum 
C. Lymphatic & hematogenous spread are rare 
D. Barium meal is diagnostic 
E. Radioresistant


Ans. E.Radioresistant
• Early gastric corcinoma is usually asymptomatic. As tumour becomes extensive, patient may complain of upper abdominal discomfort, post-prandial fullness. Anorexia and with slight nausea is very common but not the usual complaining symptom. Weight loss may eventually be observed.
• Gastric carcinoma is spread by
— Local                                — Lymphatic
— Haematogenous                — Peritoneal seedling
•A double contrast-radiography is the simplest diagnostic procedure for the evaluation. However, recommendation is gastroscopic biopsy and brush cytology.
Radiotherapy and chemotherapy has little to offer in the way of palliation Treatment of Ca Stomach.is primarily surgery. M.C. Surgery for Ca Stomach is radical subtotal gastrcctorny.
Role of Neo-adjuvent therapy is less well established.
* Virchows gland is supraclavicular lymphy node metastasis from stomach.
* Location of lymphoma is submucosal in stomach.
* Surgical removal (complete) with resection of adjucent lymph nodes offers only chance of cure.