Case history
Case history
A 77-year-old man presents to his general practitioner with weight loss of 6.8 kg (15 lbs) and a 3-month history of dysphagia and abdominal pain. The only abnormal finding on physical examination is stools positive for occult blood. He is referred for an upper endoscopy, which shows an exophytic, ulcerated mass in the cardia of the stomach. Biopsy reveals moderately differentiated adenocarcinoma.
Other presentations
Weight loss and abdominal pain are two of the most common presenting symptoms in patients with gastric cancer.[3] Dysphagia is more common in patients who present with proximal or gastro-oesophageal junction tumours. In patients with advanced stomach cancer, physical examination may show a left supraclavicular node (Virchow's node), periumbilical nodule (Sister Mary Joseph's nodule), or left axillary node (Irish node). In women, metastatic disease to the ovaries can present with ovarian masses (Krukenberg's tumour).
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