? Ca distal stomach

A female aged 70 years Chief Complaints Pain Abdomen (x 2 months) Anorexia Wt loss Heartburn Physical Examination Nothing significant Investigations Hb - 9.4 MCV - 72.3 PS - Microcytic hypochromic picture Diagnosis UGIE done showed abnormal mucosal islands in antrum Bx taken s/o Atypical cells with metaplasia

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Metaplesia of antral mucosa of stomach likely early stage 1malignancy CA-stomach need to confirm by HPE Line of treatment depends on fish test All options are available Chemo+radiation Excision +chemotherapy+radiation

Then surgical excision is treatment of choice

Subtotal gastrectomy with gastro jejunal anastomosis

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