Suggested Books To Read During Your General Surgery Residency (Read More)
Bailey & Love's Surgery, 27th Edition Surgery Essence by Pritesh Singh (PGMEE) Sabiston's Textbook of Surgery
Farquharson's Textbook of Operative General Surgery, 10th Edition Surgery Sixer for NBE by Rajamahendran Surgery PreTest Self-Assessment and Review, Thirteenth Edition
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Gastric Carcinoma : Questions and Answers



Growth Involving Incisura and Lesser Curvature of Stomach
Growth Involving Incisura and Lesser Curvature of Stomach
Explain the T staging (Primary Tumour) for Gastric Ca. (Tis, T1, T2, T3, T4)



Layers of Stomach Wall
Layers of Stomach Wall(Source: Cancer.Org)


TXPrimary tumor cannot be assessed
T0No evidence of primary tumor
TisCarcinoma in situ: intraepithelial tumor without invasion of the lamina propria
T1Tumor invades lamina propria, muscularis mucosae, or submucosa
T1aTumor invades lamina propria or muscularis mucosae
T1bTumor invades submucosa
T2Tumor invades muscularis propria
T3Tumor penetrates subserosal connective tissue without invasion of visceral peritoneum or adjacent structures
T4Tumor invades serosa (visceral peritoneum) or adjacent structures
T4aTumor invades serosa (visceral peritoneum)
T4bTumor invades adjacent structures


Explain the N staging in Gastric Cancer

NXRegional lymph node(s) cannot be assessed
N0No regional lymph node metastasis
N1Metastasis in 1-2 regional lymph nodes
N2Metastasis in 3-6 regional lymph nodes
N3Metastasis in seven or more regional lymph nodes
N3aMetastasis in 7-15 regional lymph nodes
N3bMetastasis in 16 or more regional lymph nodes


Growth Involving Incisura and Lesser Curvature of Stomach
Growth Involving Incisura and Lesser Curvature of Stomach
What are various risk factors for Gastric Cancer?
    • Age
    • Ethnicity
    • Geography
    • Helicobacter pylori infection
    • Stomach lymphoma 
    • Diet
    • Tobacco use 
    • Being overweight or obese 
    • Previous stomach surgery 
    • Pernicious anemia 
    • Menetrier disease (hypertrophic gastropathy) 
    • Type A blood
    • A family history of stomach cancer 
    • Adenomatous polyps
    • Epstein-Barr virus (EBV) infection 
    • Workers in the coal, metal, and rubber industries
    • Common variable immune deficiency (CVID) 
    • Inherited Cancer Syndromes
    Name various Inherited cancer syndromes which increase the risk of getting a Gastric Ca.
    • Hereditary diffuse gastric cancer 
    • Hereditary non-polyposis colorectal cancer (HNPCC) 
    • Familial adenomatous polyposis (FAP) 
    • BRCA1 and BRCA2 
    • Li-Fraumeni syndrome 
    • Peutz-Jeghers syndrome (PJS)