THE CLINICAL PRESENTATION AND SURGICAL MANAGEMENT OF PATIENTS WITH CARCINOMA STOMACH
Carcinoma stomach is a condition that occurs due to various causes. In order to diagnose a case of
carcinoma stomach, a high index of suspicion is required. A detailed history and a thorough clinical
examination must be done. Patients may have various complaints such as vomiting, abdominal pain
and anemia. Diet has also been shown to play a role in the occurrence of carcinoma stomach. The
patient’s socio-economic status also plays a very important role in the incidence of carcinoma
stomach. Various investigations are available today in order to diagnose a case of carcinoma
stomach. Investigations such as upper GI endoscopy are very useful to visualize a growth in the
stomach and to take tissue for biopsy. A contrast enhanced CT (CECT) scan of the abdomen is also
very useful to diagnose the stomach neoplasia as well as to find out if any metastatic lesions are
present. On histopathology, adenocarcinoma is the most common type of carcinoma that may be
found. Other tumors such as GI stromal tumors and lymphomas may also be found. Treatment of
carcinoma involves surgery as well as chemotherapy. Our study was carried out from March 2015
to February 2019. The study was carried out at SRM Medical College Hospital and Research Center,
Kattankulathur, Tamil Nadu, India. The total number of patients studied was 75. The results obtained
were tabulated and compared with other studies.
S. Electric refrigerator use and gastric cancer risk. Br
J Cancer. 1990;62:136–7.
 Lauren P. The two histological main types of
gastric carcinoma: Diffuse and so-called intestinaltype carcinoma. An attempt at a histo-clinical
classification. Acta Pathol Microbiol Scand.
 Yasui W, Sentani K, Motoshita J, Nakayama H.
Molecular pathobiology of gastric cancer. Scand J
 Helicobacter and Cancer Collaborative Group.
Gastric cancer and Helicobacter pylori: A combined
analysis of 12 case control studies nested within
prospective cohorts. Gut. 2001;49:347–53.
 Andaker L, Morales O, Hojer H, et al. Evaluation
of preoperative computed tomography in gastric
malignancy. Surgery 1991;109(2):132-5.
 Kojima T, Parra-Blanco A, Takahashi H, Fujita R.
Outcome of endoscopic mucosal resection for early
gastric cancer: review of the Japanese literature.
Gastrointest Endosc. 1998;48:550–554; discussion
 Wang J, Yu JC, Kang WM, Ma ZQ. Treatment
strategy for early gastric cancer. Surg Oncol.
 Kitano S, Iso Y, Moriyama M, Sugimachi K.
Laparoscopy-assisted Billroth I gastrectomy. Surg
Laparosc Endosc. 1994;4:146–148.
 Zhang CD, Chen SC, Feng ZF, Zhao ZM, Wang
JN, Dai DQ. Laparoscopic versus open gastrectomy
for early gastric cancer in Asia: a meta-analysis. Surg
Laparosc Endosc Percutan Tech. 2013;23:365–377.
 Kabir MA, Barua R, Masud H, et al. Clinical
presentation, histological findings and prevalence of
helicobacter pylori in patients of gastriccarcinoma.
Faridpur Med Coll J2011;6(2):78-81.
 Saha AK, Maitra S, Hazra SC. Epidemiology of
gastric cancer in the gangetic areas of westBengal.
 QurieshiMA, MasoodiMA, KadlaSA, et al.
Gastric cancer in Kashmir.Asian Pac J Cancer Prev