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5.4 stomach cancer (TNM staging (Tis (carcinoma in situ), T1 (mucosa,…
5.4 stomach cancer
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risk factors
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PMH
partial gastrectomy, gastric polyps, pernicious anemia, Ménétrier's disease (Barrett's esophagus)
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spread
neighbouring
transverse colon, pancreas & duodenum
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pathology
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x adenocarcinoma
GIST, carcinoid, lymphoma
v surgery
early gastric cancer
lymphadenectomy
early: anastomotic leak, duodenal stump blowout
gastrectomy
early: injury, bleeding, infection
late gastric cancer
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lymphadenectomy
late: early satiety, intestinal hurry, malnutrition, gastric reflux
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