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Surgery MCQ 96

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Triad of Blumer-shelf, sister marry Joseph’s node and kruenburg tumor is a transperitoneal manifestation of which tumor

A. Pacreatic cancer
B. Ovarian tumor
C. Carcinoid tumor
D. Gastric tumor

Answer: D(S)

The Correct Answer is Gastric tumor

This triad is the sign of metastasis of gastric carcinoma:
  • Blumer's shelf is a finding felt in rectal examination that indicates that a tumor has metastasized to the pouch of Douglas.
  • Sister Mary Joseph node: periumbilical lymph node metastasis (subcutaneous) 
  • Krukenberg tumor: metastatic tumor of the ovary often caused by diffuse gastric cancer



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