Case history
Case history
A 77-year-old man presents to his primary care physician with weight loss of 15 pounds 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 gastroesophageal junction tumors. In patients with advanced stomach cancer, physical examination may show a left supraclavicular node (Virchow node), periumbilical nodule (Sister Mary Joseph nodule), or left axillary node (Irish node). In women, metastatic disease to the ovaries can present with ovarian masses (Krukenberg tumor).
Use of this content is subject to our disclaimer