Question 338 · LEK · Gastric cancer
A 65-year-old male presents at the Emergency Department due to 10 kg weight loss over 3 months, loss of appetite, and fullness sensation after small meals. Gastroscopy revealed an ulcerated tumour in the prepyloric part of the stomach; histopathology examination confirmed adenocarcinoma. Abdominal CT revealed no distant metastases; endosonography (EUS) revealed that the tumour infiltrated the submucosa and partially the muscle layer, regional lymph nodes are suspicious (cN1). Indicate the appropriate management: 115 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
- A. only palliative chemotherapy.
- B. endoscopic mucosal resection or submucosal dissection (EMR/ESD).
- C. only radiotherapy as a radical method.
- D. gastrectomy with D2 lymphadenectomy, preceded by perioperative chemotherapy.
- E. treatment with proton pump inhibitors and, after ulcer healing, reassessment of tumour stage.
Hint
The tumour is locally advanced (muscle invasion, suspicious nodes) but non-metastatic; consider the multimodal curative approach.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Oncology
- Which of the following methods is not used in palliative treatment of patients with oesophageal cancer:
- Which of the following statements is/are true about stomach cancer?
- Intraductal papillary mucinous neoplasm (IPMN) is a tumour of:
- Dukes classification is used mainly to assess:
- Dukes classification is used to determine the staging of colorectal cancer. Stage B in this scale means that:
- Which polyps typically do not require excision: