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Case #4

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Expand Physical Exam

Pain in epigastric area. Bouts of nausea and vomiting.

Expand Imaging

10/12/XX

Chest x-ray: WNL
Upper GI: Mass obstruction in antrum of stomach. Suggested biopsy or resection.
Liver scan: Normal.

Expand Laboratory

11/17/XX

CEA: 7.8 (within normal limits)

Expand Scopes

10/18/XX

Gastroscopy: Mass in antrum of stomach, consistent with adenocarcinoma. Biopsied.

Expand Surgical Observations

10/24/XX

Partial gastrectomy. Stomach involved with tumor. No lymphadenopathy. Liver appears normal.

Expand Pathological Reports

10/18/XX

Gastric antrum biopsy: Mucinous adenocarcinoma, Grade III.

10/24/XX

Gastric antrum resection: infiltrating mucinous adenocarcinoma, grade III. Tumor infiltrates entire wall of stomach and involves serosa, 0/7 lymph nodes positive, margins uninvolved.

Expand Treatment

10/24/XX

Surgery: Partial gastrectomy and regional lymph node dissection.