Concluded Case

Adenocarcinoma of Stomach..

Female 65 years presented with vomiting and abdominal discomfort. Kn DM + HTN on Mx. Abdominal pain before few months treated conservatively. CT abdomen. And UG scoot images are given here. Please comment further treatment plan???

4 Likes

LikeAnswersShare
Concluded answer

This was adenocarcinoma .. conformed on biopsy..

All Answers

This is case of gastric cancer with LN involvement. Is the depth of involvement specified and how many nodes? If there is no distant metastasis, do an EUS to assess the depth of involvement and if ECOG is good and patient is resectable on imaging do a diagnostic laparoscopy before proceeding with resection. Neoadjuvant chemotherapy will help in those who are resectable and > T1. However, if ECOG is poor as patient is having multiple comorbidities, then better to manage with chemotherapy alone.

Thank you for elaborated answar. It provided all required information... Thanks for suggestions
0

CA stomach involving most likely greater curvature and lymph node invovement. Endoscopic biopsy for confirmation. Surgical resection and block dissection of lymphnodes followed by Radiotherpy.

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!

Thank you doctor
0

This was adenocarcinoma .. conformed on biopsy..

CA STOMACH Chemotherapy and radiotherapy

Valuable opinion
0

Can stomach.

Valuable opinion
0

Can stomach

Valuable opinion
0

Ca stomach

Valuable opinion
0

Cases that would interest you