Symptoms of metastatic gastric cancer

Speaking of gastric cancer, it is natural to think of epigastric pain, nausea, loss of appetite and so on with gastritis, gastric ulcer like symptoms. But for obvious gastrointestinal symptoms to "stomach outside the" performance-based gastric cancer, vigilance is not high, lack of knowledge, easily ignored and makes a botch.

Of gastric cancer, "stomach outside the" starting performance are: to the performance of ovarian metastasis as the first reported in the literature, and in ovarian metastasis of gastric cancer metastasis as the first performers, accounting for 43.6% of female gastric cancer patients. Many clinical manifestations of acute abdominal pain, irregular menstruation, abdominal mass and so on, while the obvious symptoms of the gastrointestinal tract. Ovarian metastasis of gastric cancer and to ovarian metastasis as the first performers, multi-occurred in premenopausal or young women. At the same time more involved on both sides of ovary, ovarian increases, capsule integrity, and cut surface entities, or mucous-like, some may secrete estrogen, it is clinically often show various types of irregular menstruation. Often misdiagnosed as simple ovarian tumors.

With liver metastasis as the first manifestation of gastric cancer liver metastasis rate was 45.9% ~ 46.5%. General types of liver metastasis of gastric cancer related, such as fungating gastric cancer liver metastasis, nodular fungating 47.8%, discoid mushroom umbrella, 38% higher than the infiltrative type. Liver metastasis and histological type of gastric cancer is also a relationship, such as papillary adenocarcinoma liver metastases most, 66.7%, signet-ring cell carcinoma of the liver metastases the least. Liver metastasis imaging examination often as multiple lesions, scattered distribution, rounded, clear boundary. AFP check is negative, many are not accompanied by chronic hepatitis and cirrhosis and other liver performance.

To surface manifestations of malignant lymph nodes as the first level of higher or advanced gastric cancer may be through the thoracic duct retrograde transferred to the left supraclavicular lymph nodes, or round ligament of liver transferred to Cullen. Medical examination when the left supraclavicular fossa, or Cullen palpable swelling, not smooth, texture hard as stone, and the surrounding tissue adhesion and fixed-cancerous nodules. It may also be the first to be found in clinical symptoms or signs, but only after tracing out the stomach.

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