Gastric neoplasms: The Daily PANCE Blueprint
Which of the following is not a risk factor for gastric cancer?
A. H. Pylori infection
B. Obesity
C. Diet high in salts and nitrates
D. Nicotine
E. High socioeconomic status
Answer and topic summary
The answer is E. High socioeconomic status
Gastric cancer is the 5th most common cancer. Risk factors include H. Pylori, nicotine, low SES, EBV, obesity, and diet rich in nitrates/salts. Clinical features include nausea, weight loss, dysphagia, abdominal pain, melena, hematemesis, Virchow node (left supraclavicular adenopathy), umbilical nodule (Sister Mary Joseph node), mass felt upon DRE (Blumer shelf), or ovarian mass (Krukenberg tumor). EGD with biopsy is the diagnostic test of choice. The mainstay of treatment for gastric cancer that has not yet become metastatic is surgical resection with peri-operative chemo.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint GI and Nutrition ⇒ ⇒
Also covered as part of the General Surgery EOR topic list
