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Most common site of metastasis of gastric c arcinoma is: A. Liver B. Lung C. Bone D. Brain Answer: A (G+S) The Correct Answer is   Liver ( REF) Metastasis of gastric c arcinoma Hematogenous spread Liver (most common) Lung Skeleton Brain Lymphangitic spread Virchow node: left supraclavicular lymph node metastasis  Sister Mary Joseph node:  periumbilical lymph node metastasis (subcutaneous)  Krukenberg tumor:  metastatic tumor of the ovary cause by diffuse gastric cancer Celiac, paraaortic, and mesenteric lymph nodes Lymph nodes of the lesser and greater curvature Mediastinal lymph nodes (in carcinoma of the cardia) Local invasion of adjacent structures Peritoneal carcinomatosis (seeding of  abdominal tumor to the peritoneum) Infiltration of structures such as the esophagus, pancreas and transverse colon. Direct seeding : Blumer shelf (direct seeding to the pouch of Douglas) Blumer's shelf  is a finding felt in rectal examination that i...

Following Macroscopic type of Gastric  Carcinoma is most common and has favorable prognosis: A. Intestinal type B. Diffuse type C. Mixed type D. Infiltrative type Answer: A (S) The Correct Answer is Intestinal type ( REF ) Gastric cancer is the fifth most common type of cancer worldwide Lauren classification of gastric adenocarcinoma Intestinal type gastric carcinoma Typically localized  Polypoid, glandular formation Similar to an ulcerative lesion with clear raised margins Commonly located on the lesser curvature Diffuse type gastric carcinoma  No clear border  Spreads earlier in the course of disease Infiltrative growth Diffuse spread in the gastric wall  Linitis plastica: gastric wall thickening and leather bottle appearance Composed of signet ring cells: round cells filled with mucin, with a flat nucleus in the cell periphery  Associated with E-cadherin mutation Intermediate type (the least common type): should be treated as the diffuse ty...

One of the following blood group is a known  Predisposing factor for Gastric Carcinoma: A. Blood group 0 B. Blood group B C. Blood group A D. Blood group AB Answer: C ( GS) The Correct Answer is Blood group A ( ref ) Exogenous risk factors: Diet rich in nitrates and/or salts (e.g., dried foods, foods preserved by curing or smoking)  and low in fresh vegetables containing antioxidants [4] H. pylori infection  Nicotine use  Epstein-Barr virus  Low socioeconomic status Obesity Endogenous risk factors Gastric conditions Chronic atrophic gastritis and associated pernicious anemia Achlorhydria (e.g., due to Ménétrier disease) Gastric ulcers Partial gastrectomy Adenomatous gastric polyps Gastroesophageal reflux disease Hereditary factors Positive family history Blood type A  Hereditary nonpolyposis colorectal cancer Like Our  Facebook Page  For Daily Update

92.  A 50 years old female came to OPD with the  Complain of persistent pain in epigastric region, which is often relieved by vomiting. associated with severe weight loss. She was a known case of chronic peptic ulcer. Following Investigations were carried out. Gastroscopy was performed which shows a narrow, Scarred channel leading to lower c ompartment of stomach, Barium meal Shows double pouched stomach. What is the most likely diagnosis? A. Tea pot deformity B. Hand bag stomach C. Hour glass stomach D. Ca-stomach Answer: C (S) The Correct Answer is Hour glass stomach Like Our  Facebook Page  For Daily Update

91.  Radiological findings of peptic ulcer includes  All except: A. Football sign B. Triangle sign C. Tennis sign D. Inverted V sign Answer: C (S)The Correct Answer is Tennis sign Like Our  Facebook Page  For Daily Update