Gastric Cancer (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct

Gastric Cancer (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct What is the incidence of gastric cancer? Low in United States (10/100,000); high in Japan (78/100,000) What are the associated risk factors? Diet—smoked meats, high nitrates, low fruits and vegetables, alcohol, tobacco Environment—raised in high-risk area, poor socioeconomic status, atrophic gastritis, male gender, blood type A, previous partial gastrectomy, pernicious anemia, polyps, Helicobacter pylori Average age 60 years Ratio of male to female 3:2 Which blood type is associated with gastric cancer? Blood type A What are the symptoms? "WEAPON": Weight loss Emesis Anorexia Pain/epigastric discomfort Obstruction Nausea What are the most common early symptoms? Mild epigastric discomfort and indigestion What is the most common symptom? Weight loss What are the signs Anemia, melena, heme occult, epigastric mass (in advanced disease), hepatomegaly, coffee-ground emesis, Blumer's shelf, Virchow's node, enlarged ovaries, axillary adenopathy What is Virchow's node? Metastatic gastric cancer to the nodes in the left sup