Case of the day

A chronic tobacco chewer with Gastric Growth

A male aged 54 years who is a chronic Tobacco Chewer p/w Chief Complaints Pain Abdomen Vomiting (on/off) Loss of Weight since 2 months Investigations UGIE- Large growth seen on retroflexion in Cardia of Stomach

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Endoscopy shows growth at Gastrooesophageal junction, the mucosa covering the growth of normal, shiny, no erosion of ulceration This indicates that growth may be extramucosal in origin ? Gastrointestinal stromal tumor ? Lymphoma Adv CT scan Biopsy to confirm diagnosis

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Once biopsy report comes . Plan for radical gastrectomy as it is the only way to hope for some survival- provided there are no distant metastasis and even if regional lymph nodes are involved as in stage 2 - still surgery will have good results. Post operative chemotherapy may be required depending upon the stage of the disease

Pt need histopathology Then plan redical gastrectomy Follwed by chemo+,radio therapy See for distant metastasis
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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Undoubtedly carcinoma stomach It is adenocarcinoma and malignant needs excision with oesophagealjejunostomy Followed by chemo and radiotherapy

Thanx dr Praveen Yograj
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Wait for the biopsy report. Serum LFT Entire stomach rugosities looks abnormal. Whole body Pet Ct scan Serum CEA Serum LDH required. Whether he needs primary surgery or neoadjuvant chemotherapy can be decided based on the above reports

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Ugie growth biopsy HP with clots Maligancy

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Please rule out gastric varix

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