Gastric tumour.pptVIP

Gastric tumour Gastric adenocarcinoma Risk factor japanese age(50-70) H.pylori infection dietary factor(high salt,nitrites) smoking tobacoo pernicious anaemia, chronic atropic gastritis, partial gastrectomy Male sex screening Japan(barium swallow and meal examination) Early gastric cancer(confined to mucosa or submucosa,regardless of presence of lymph node metastases) Pathology intestinal(type 1) diffuse(type 2) Clinical features dyspepsia(often only symptom) epigastric pain anorexia and weight loss early satiety iron deficiency