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Pain in epigastric area. Bouts of nausea and vomiting.
Chest x-ray: WNL
Upper GI: Mass obstruction in antrum of stomach. Suggested biopsy or resection.
Liver scan: Normal.
CEA: 7.8 (within normal limits)
Gastroscopy: Mass in antrum of stomach, consistent with adenocarcinoma. Biopsied.
Partial gastrectomy. Stomach involved with tumor. No lymphadenopathy. Liver appears normal.
Gastric antrum biopsy: Mucinous adenocarcinoma, Grade III.
Gastric antrum resection: infiltrating mucinous adenocarcinoma, grade III. Tumor infiltrates entire wall of stomach and involves serosa, 0/7 lymph nodes positive, margins uninvolved.
Surgery: Partial gastrectomy and regional lymph node dissection.