Exam (elaborations)
Gastric Cancer Questions and Answers 100% Solved
- Course
- Institution
Exam of 9 pages for the course cancer at cancer (Gastric Cancer)
[Show more]
Content preview
Gastric CancerImportant facts about gastric cancer - answer- more common in older adults (men: 70,
women: 74)
- men > women
- Asian Americans, Native Americans, Hispanic Americans, and African Americans
Diet is a significant factor for gastric cancer. What types of food increases risks? -
answer- smoked, salted, or pickled foods
- low amounts of fruits and veggies
Other than food, what are other risk factors for gastric cancer? - answer- chronic
inflammation of stomach
- H. pylori infection
- pernicious anemia
- smoking
- achlorhydria
- gastric ulcers
- previous subtotal gastrectomy (more than 20 years ago)
- genetics
Why is d/x of gastric cancer usually made late? - answer- most patients are
asymptomatic during the early stages
- most cases are discovered only after local invasion had advanced or metastases are
present.
Why type of cancer is gastric cancer? - answeradenocarcinomas
Where can gastric cancers occur? - answerAnywhere in the stomach
- 40% in the lower part
- 15% in the upper part
- 10% involve more than one part
What is the pathophysiology of gastric cancer? - answer- The tumor infiltrates the
surrounding mucosa, penetrating the wall of the stomach and adjacent organs and
structures.
What other organs are typically affected at the time of d/x? - answer- liver
- pancreas
- esophagus
- duodenum
, How does gastric cancer metastasize? - answer- spreads through the lymph to the
peritoneal cavity
What are clinical manifestations of gastric cancer? (early) - answer- pain (relieved by
antacids)
- resemble those of benign ulcers and are seldom definitive.
What are symptoms of gastric cancer? (progressive) - answer- dyspepsia (indigestion)
- early satiety
- weight loss
- abdominal pain just above the umbilicus
- loss or decrease in appetite
- bloating after meals
- n/v
- s/x similar to PUD
Why is physical exam usually not helpful in detecting gastric cancer? - answerbecause
most early gastric tumors are not palpable.
What will the nurse assess with gastric cancer? - answer- A palpable mass in advanced
gastric CA
- Ascites & hepatomegaly: if the CA cells have metastasized to the liver.
- Sister Mary Joseph's nodules
What are Sister Mary Joseph's nodules? - answer- palpable nodules around the
umbilicus
- they are a sign of GI malignancy
What are diagnostics for gastric CA? - answer- Esophagogastroduodenoscopy for
biopsy & cytologic washings *study of choice*
- barium x-ray exam of the upper GI tract
- endoscopic ultrasound
- CT scanning
What is important about an endoscopic ultrasound? - answer- important in assessing
tumor depth and any lymph node involvement
What is assessed for with a CT scan in gastric CA? What are these images valuable
for? - answer- CT scans are used to assess for surgical resectability of the tumor before
surgery is scheduled.
- CT scans of the chest, abdomen, and pelvis are valuable in staging gastric CA
What is the initial approach to evaluate a gastric tumor? - answerA diagnostic
laparoscopy
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Dreamer252. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78677 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now