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         Gastric Cancer:     more books (100)
  1. Gastric Cancer: Diagnosis, Early Prevention, and Treatment
  2. Intraperitoneal Therapy for Ovarian Cancer
  3. Gastric cancer: An entry from Thomson Gale's <i>Gale Encyclopedia of Genetic Disorders, 2nd ed.</i> by Kristin, MS, CGC Niendorf, 2005
  4. Chemotherapy improves gastric cancer survival.(Gastroenterology): An article from: Internal Medicine News by Jane Salodof MacNeil, 2005-09-15
  5. Endoscopy in gastric cancer (Recent results in cancer research) by Robert S Nelson, 1970
  6. Early eradication of H. pylori may prevent gastric cancer.(DIGESTIVE DISORDERS): An article from: Family Practice News by Mary Ann Moon, 2009-11-01
  7. Mediterranean-style diet decreases incidence of gastric cancer.(PREVENTION): An article from: Food & Fitness Advisor by Unavailable, 2010-04-01
  8. Intestinal metaplasia tied to high risk of gastric cancer.: An article from: Internal Medicine News by Sherry Boschert, 2010-03-15
  9. Early Diagnosis of Cancer of the Stomach: Gastroscopy and Gastric Biopsies, Gastrophotography and X-Rays (Reprint No. 39 from the Journal of the National Cancer Institute, Vo. 1, No. 4, February 1941, Pages 451-480) by Rudolf Schindler, 1941
  10. 21st Century Ultimate Medical Guide to Stomach (Gastric) Cancer - Authoritative, Practical Clinical Information for Physicians and Patients, Treatment Options (Two CD-ROM Set) by PM Medical Health News, 2009-01-08
  11. Combined treatment of gastric cancer with pre-and intraoperative irradiation. Berdov BA, Skoropad VY, Tsyb AF, Mardynsky S. / Kombinirovannoe lechenie raka zheludka s pred- i intraoperatsionnym oblucheniem. Berdov B. A., Skoropad V. Yu., Tsyb A. F., Mardynskiy Yu. S. by Skoropad V. Yu., Tsyb A. F., Mardynskiy Yu. S. Berdov B. A., 2009
  12. Gastric Cancer
  13. Cancer Of The Stomach, A Clinical Study Of 921 Operatively And Pathologically Demonstrated Cases: With A Chapter On The Surgical Treatment Of Gastric Cancer by Frank Smithies, 2010-09-10
  14. Early Gastric Cancer

41. Gastric Cancer Specialty Service
Sugarbaker Oncology Associates Specialty Section for the Treatment ofgastric cancer. gastric cancer may be the most seriously mismanaged
http://www.surgicaloncology.com/gastric.htm
Sugarbaker Oncology Associates
Specialty Section for the Treatment of Gastric Cancer
Gastric cancer may be the most seriously mismanaged
malignancy from a surgical perspective in the USA Paul H. Sugarbaker, M.D. April 1999
Sugarbaker Oncology Associates maintains an active program in treatment of gastric cancer. We offer the most experienced, multidisciplinary group of oncologists in the Washington D.C. area. Our treatment strategies include cytoreductive surgery, intraoperative intraperitoneal chemotherapy and hyperthermia. Our associates have numerous publications describing our innovative treatment strategies
Gastric cancer is the second most frequently diagnosed cancer in the world. The United States is fortunate in that the incidence of this dreadful disease is lower than many other countries. Nevertheless, the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute reports that over 19,000 people in the United States were diagnosed with gastric cancer and over 1,100 died of the disease in 1994.*
Surveillance, Epidemiology, and End Results (SEER) Program public use CD-ROM (1973-1994), National Cancer Institute, DCPC, Surveillance Program, Cancer Statistics Branch, released May 1997, based on the August 1996 Submission.

42. Digestive Disease Library
, What is gastric cancer? , Symptoms, -, Anatomy, , Helicobacter pylori,-, Gastric Polyps, -, Hereditary (Familial) gastric cancer, -, Molecular Biology,
http://www.hopkins-gi.org/pages/latin/templates/index.cfm?pg=disease3&organ=5&di

43. Treatment Of Gastric Cancer At Mayo Clinic In Rochester
Treatment of gastric cancer at Mayo Clinic in Rochester. (Synonyms stomachcancer). gastric cancer can develop in any part of the stomach.
http://www.mayoclinic.org/gastriccancer-rst/
Home About Mayo Clinic Contact Us Mayo Clinic Locations: Arizona Florida Minnesota Mayo Clinic ... Medical Services Gastric Cancer Gastric Cancer Treatment Symptoms and Diagnosis Appointments Clinical Trials ... Medical Services
Treatment of Gastric Cancer at Mayo Clinic in Rochester
(Synonyms: stomach cancer) Gastric cancer patients who come to Mayo Clinic for treatment receive comprehensive diagnosis and compassionate care. An experienced team of doctors and health-care professionals provides patients and their families with detailed answers to questions, educational materials, follow-up recommendations and genetic testing. The multidisciplinary team typically includes gastroenterologists, surgeons, oncologists, radiologists, pathologists and geneticists. Gastric cancer can develop in any part of the stomach. About 21,500 new cases of gastric cancer are diagnosed each year in the United States. Experts recognize gastric cancer as the 10th leading cause of cancer death in the United States and consider about one-half of 1 percent of the population to be at risk for developing the disease. In the early and most curable stages of gastric cancer, patients usually lack symptoms.
Treatment Options
Common treatments for gastric cancer include surgery, radiation and chemotherapy. Physicians recommend these treatments alone or in combination depending on a patient's general health and the stage of the cancer. Patients with advanced disease can often participate in clinical trials that offer experimental therapies. The team works with each patient to develop an individualized, comprehensive treatment plan.

44. Disease Category Listing (240): Gastric Cancer
Clinical Trials gastric cancer. California. Duarte; City of HopeNational Medical Center NCI 5734 PH II-37 A Phase II Trial of
http://www.centerwatch.com/patient/studies/cat240.html
Clinical Trials: Gastric Cancer
California
Duarte; City of Hope National Medical Center
NCI #5734 - PH II-37: A Phase II Trial of ST1571 in the Treatment of Metastatic Gastric Cancer
Oklahoma
Tulsa; Southwestern Regional Medical Center
Phase II study of PORFIMER Sodium (Photofin) photodynamic therapy in the treatment of cancer.
Pennsylvania
Bethlehem; St. Luke's Hospital and Health Network
Phase II Randomized Study of Cisplatin, Paclitaxel, and Concurrent Radiotherapy with or without Fluorouracil in Patients with Previously Untreated Carcinoma of the Esophagus or Gastroesophageal Junction. Bethlehem; St. Luke's Hospital and Health Network
Phase III Intergroup Trial of Adjuvant Chemoradiation after Resection of Gastric or Gastroesophageal Carcinoma Bethlehem; St. Luke's Hospital and Health Network
Phase III Randomized Adjuvant Study of Imatinib Mesylate in Patients with Resected Primary Gastrointestinal Stromal Tumor
Back to Clinical Trials by Medical Areas Research centers
specializing in

this illness area
Additional resources ...
in this illness area
This site is run by CenterWatch, a publishing company that focuses on the clinical trials industry. The information provided in this service is designed to help patients find clinical trials that may be of interest to them, and to help patients contact the centers conducting the research. CenterWatch is neither promoting this research nor involved in conducting any of these trials. Trial listing updated: May 6, 2004 at 3:15:01 PM

45. OncoLink | The Web's First Cancer Resource
OncoLink Tips. Ask the Experts. Ask the Experts Archive Types of Cancer GastrointestinalCancers gastric cancer. gastric cancer. Diagnosis of gastric cancer.
http://www.oncolink.org/experts/subsection.cfm?c=3&s=15&ss=31

46. Stomach Cancer File: Current Gastric Cancer Research
of Medicine database at the National Institutes of Health, the Stomach Cancer Fileincludes detailed descriptions of current findings in gastric carcinoma.
http://www.lifestages.com/health/stomachc.html
The Stomach Cancer File SM
C E N T E R F O R C U R R E N T R E S E A R C H
Approved
by
Physicians'
Home Page
Medinex
Seal of Approval
WellnessWeb:
The Patient's Network
HONcode Principles of the Health On the Net Foundation Partners of CareData.com W Stomach Cancer File
. Learn about late-breaking research from world-renowned experts in gastroenterology and oncology. Compiled from the National Library of Medicine database at the National Institutes of Health, the Stomach Cancer File Stomach Cancer File informs you about studies performed at such renowned institutions as the Memorial Sloan-Kettering Cancer Center, the Mayo Clinic, and the National Cancer Institute in Bethesda, MD. The Stomach Cancer File brings you the inside medical story on:
  • Surgical Treatments
  • Chemotherapies
  • Radiation and Chemoradiation Therapies
  • Laser/Photodynamic Therapies
  • Gene Therapies
  • Alternative Medicine Therapies
  • Recurrence and Survival Studies
  • Prognostic Factors
  • General Studies
  • Linitis Plastica
  • Free Access to Full Text Articles on Stomach Cancer
  • and Much More . . .

47. Gastric Cancer
gastric cancer Gastric Carcinoma. Stomach Cancer. Diagnostic Testing Upper endoscopy(Esophogastroduodenoscopy or EGD) Best tool for gastric cancer diagnosis;
http://www.fpnotebook.com/GI64.htm
Home About Links Index ... Editor's Choice document.write(code); Advertisement Gastroenterology Hematology and Oncology Bowel ... Stomach Gastric Cancer Assorted Pages Carcinoid Syndrome Hepatic Adenoma Hepatocellular Carcinoma Hepatic Focal Nodular Hyperplasia ... Colorectal Cancer Screening Gastric Cancer Gastric Carcinoma Stomach Cancer Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Gastroenterology Index Bowel Cirrhosis Constipation Dermatology Diarrhea Esophagus Examination Gynecology Hematology and Oncology Hepatitis Inflammatory Bowel Disease Infectious Disease Laboratory General Malabsorption Neurology Neonatology Obstetrics Pancreas Pediatrics Pharmacology Prevention Procedure Psychiatry Peptic Ulcer Disease Radiology Rectum Rheumatology Spleen Stomach Surgery Symptom Evaluation Page Hematology and Oncology Index Bowel Cancer Carcinoid Cirrhosis Hemochromatosis Constipation Diarrhea Esophagus Barrett's Hepatic Adenoma Hepatic Carcinoma Primary Hepatic Focal Nodular Hyperplasia Hepatic Hemangioma Stomach Cancer Wilsons Disease
  • Epidemiology Gender: More common in men Age: 40 to 70 years Pathophysiology Adenocarcinoma accounts for 95% of cases Atrophic Gastritis precedes metaplasia and malignancy
  • 48. Treating Ulcer Bug & Gastric Cancer - Cancer: Health And Medical Information Abo
    MedicineNet Home Cancer Home Treating Ulcer Bug gastric cancer.Advanced Search. Treating Ulcer Bug gastric cancer. Background
    http://www.medicinenet.com/script/main/art.asp?articlekey=26089

    49. Gastric Cancer
    gastric cancer. Glossary. What is gastric cancer? Most cancers ofthe stomach are adenocarcinomas, a type of cancer that
    http://www.antigenics.com/diseases/gastriccancer.html
    Home About Antigenics Disease Areas
    Gastric cancer
    What is gastric cancer?
    Most cancers of the stomach are adenocarcinomas , a type of cancer that develops in the mucosal cells that form the innermost lining of the stomach. Other types of stomach cancers include lymphomas and sarcomas . Stomach cancer can be hard to detect early. Often there are no symptoms in the early stages and, in many cases, the cancer has spread before it is found. As the disease progresses, the cancer may invade the stomach wall and/or metastasize (spread to other parts of the body).
    How many people get gastric cancer?
    Although the rate of stomach cancer in this country has declined substantially, it is still the seventh most frequent cause of cancer mortality. The American Cancer Society estimates that in 2003, about 22,400 new cases will be diagnosed in the United States, and 12,100 people will die of the disease. Most people diagnosed with stomach cancer are in their 60s and 70s.
    What causes gastric cancer?
    Gastric cancer is a major cause of cancer death worldwide, especially in developing countries. Although infection with Helicobacter pylori bacteria may be a risk factor, the exact cause of stomach cancer is unknown. Certain populations appear to be at higher risk, with the incidence of gastric cancer highest in Central Europe, South America, and Asia, especially Japan. Yet over the past several decades, the frequency and mortality associated with gastric cancer have decreased significantly in the United States. For example, since 1930, the incidence has declined about fourfold to about seven cases for every 100,000 people. The reasons for this decline are unknown, but it has been proposed that it may be related to changes in diet and improved food storage.

    50. CancerConsultants - Patient Resource Center: Cancer News
    gastric cancer. Screening/Prevention. January 2004, Eradication of H.pyloriEffective in Preventing gastric cancer in Subgroup of Patients.
    http://www.cancerconsultants.com/patient/news_intro.php?article=gastric_news_int

    51. Gastric Cancer Information Center
    CancerConsultants oncology resource center. Patient Resource Center. You Are HereCancer Information gastric cancer Center, gastric cancer Information Center.
    http://www.cancerconsultants.com/patient_new/center_gastric.php
    Home Page Contact Us Patient Resource Center Search Quick Links Cancer Types
    Select Cancer Type Anal Cancer Bladder Cancer Bone Cancer Brain and CNS Cancers Breast Cancer Cervical Cancer Colon Cancer Esophageal Cancer Gastric Cancer Head and Neck Cancers Hodgkins Lymphoma Leukemia Liver Cancer Lung Cancer Malignant Mesothelioma Melanoma Multiple Myeloma Myelodysplastic Syndrome Neuroblastoma Non-Hodgkins Lymphoma Ovarian Cancer Pancreatic Cancer Prostate Cancer Rectal Cancer Renal Cancer Retinoblastoma Cancer Sarcoma Skin Cancer Testicular Cancer Thyroid Cancer Uterine Cancer Non-Small Cell Lung Cancer Small Cell Lung Cancer Cancer News
    Select Cancer Type Anal Cancer Bladder Cancer Brain and CNS Cancers Breast Cancer Cervical Cancer Colon Cancer Complementary and Alternative Medicine (CAM) Esophageal Cancer Gastric Cancer Gene Therapy Head and Neck Cancers HIV Related Cancers Hodgkins Lymphoma Leukemia Liver Cancer LUNG: Non Small Cell Lung Cancer LUNG: Small Cell Lung Cancer Malignant Mesothelioma Melanoma Multiple Myeloma Myelodysplastic Syndrome Neuroblastoma Non-Hodgkins Lymphoma Other Ovarian Cancer Pancreatic Cancer Prostate Cancer Rectal Cancer Renal Cancer Retinoblastoma Cancer Sarcoma Screening/Prevention Skin Cancer Stem Cell Transplant Supportive Care Testicular Cancer Thyroid Cancer Uterine Cancer Vaginal Cancer
    PRINT THIS PAGE (printer-friendly)
    CancerConsultants
    oncology resource center Patient Resource Center
    You Are Here: Cancer Information : Gastric Cancer Center
    Gastric Cancer Information Center
    A new or recurrent diagnosis of gastric cancer often results in fear and confusion for patients and their family members. Understanding treatment options, accessing new and innovative therapies through clinical trials, as well as understanding the role of supportive care and complementary and alternative medicine are essential. Cancer screening and prevention are equally relevant to all individuals, especially those related to someone diagnosed with cancer.

    52. Gastric Cancer - Cancer: Health And Medical Information About Cancer Detection A
    gastric cancer Cancer of the stomach, the major organ that holds foodfor digestion. Worldwide, stomach cancer is the second most
    http://www.medterms.com/script/main/art.asp?articlekey=3549

    53. Cancer Research UK: Stomach Cancer (gastric Cancer)
    You are here Home About cancer Specific cancers Stomach cancer(gastric cancer) . Stomach cancer (gastric cancer) If you or a
    http://www.cancerresearchuk.org/aboutcancer/specificcancers/stomach_cancer
    Home About us About cancer News ... ALL CLEAR You are here: Home About cancer Specific cancers Contact us ... Low tar cigarettes exposed Stomach cancer (gastric cancer)
    If you or a friend or relative have been diagnosed with cancer, you will find much more detailed information on our patient information site, CancerHelp UK Summary Stomach cancer is the 5th most common cancer for men and the 9th most common cancer for women in the UK. Each year, there are nearly 6,300 new cases of stomach cancer in men and nearly 3,500 cases in women. Stomach cancer develops from cells within the stomach. More than 9 in 10 stomach cancers affect the cells of the inner lining of the stomach. Stomach cancer can spread to nearby organs in the abdomen, or, through the wall of the stomach, to distant organs and lymph nodes. Risk factors
    • Helicobacter pylori infection
      Helicobacter pylori infection is a common bacterial infection of the stomach lining. It is strongly linked to stomach ulcers and research has shown that people with the infection are 4 to 5 times more likely to develop stomach cancer than those without it.
      Diet
      Eating lots of salted, cured and smoked foods may increase the risk of stomach cancer. Research also suggests that eating plenty of fibre, fruit, vegetables and antioxidant vitamins may help protect against the cancer.

    54. Gastric Cancer: Screening - Health Professional Information [Cancer.gov]
    gastric cancer Screening Health Professional Information Cancer.gov.gastric cancer Screening - Health Professional Information Cancer.gov.
    http://www.meritcare.com/hwdb/showTopic.asp?pd_hwid=ncicdr0000062757

    55. Gastric Cancer Treatment - Patient Information [Cancer.gov]
    gastric cancer Treatment Patient Information Cancer.gov. This information isproduced and provided by the National Cancer Institute (NCI). gastric cancer.
    http://www.meritcare.com/hwdb/_followLink.asp?sgml_id=ncicdr0000062944

    56. Gastric Cancer
    The Official Patient s Sourcebook on gastric cancer (Cancer stomach; Gastriccarcinoma; Linitis plastica; NonHodgkins Gastric Lymphoma; Stomach cancer
    http://www.icongrouponline.com/health/Gastric_Cancer.html
    ICON Health Publications
    Official Health Sourcebooks The Official Patient's Sourcebook
    on
    GASTRIC CANCER

    (Cancer stomach; Gastric carcinoma; Linitis plastica; Non-Hodgkins Gastric Lymphoma; Stomach cancer; Stomach Lymphoma, Non-Hodgkins Type) Revised and Updated for the Internet Age P A P E R B A C K Paperback Book Paperback Book Order by phone: 800-843-2665 (within USA) 1-201-272-3651 (from outside USA) Paperback Book Shipped in 3 to 5 business days
    E B O O K Electronic File * E-Book version sent via e-mail in 2 business days Electronic File *E-Book version sent via e-mail in 2 business days Pages Price $34.95(USD) ISBN Published Synopsis A comprehensive manual for anyone interested in self-directed research on gastric cancer. Fully referenced with ample Internet listings and glossary. Related Conditions/Synonyms Cancer stomach; Gastric carcinoma; Linitis plastica; Non-Hodgkins Gastric Lymphoma; Stomach cancer; Stomach Lymphoma, Non-Hodgkins Type Description Table of Contents Introduction Overview Organization Scope Moving Forward PART I: THE ESSENTIALS Chapter 1. The Essentials on Gastric Cancer: Guidelines

    57. NEJM -- Green Tea And The Risk Of Gastric Cancer In Japan
    Original Article from The New England Journal of Medicine Green Tea andthe Risk of gastric cancer in Japan. Green Tea and gastric cancer.
    http://content.nejm.org/cgi/content/short/344/9/632
    HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 344:632-636 March 1, 2001 Number 9 Next Green Tea and the Risk of Gastric Cancer in Japan
    Yoshitaka Tsubono, M.D., Yoshikazu Nishino, M.D., Shoko Komatsu, M.D., Chung-Cheng Hsieh, Sc.D., Seiki Kanemura, M.D., Ichiro Tsuji, M.D., Haruo Nakatsuka, Ph.D., Akira Fukao, M.D., Hiroshi Satoh, M.D., and Shigeru Hisamichi, M.D.
    Full Text
    PDF
    Editorial
    by Sano, T. ... Chapters at Harrison's
    ABSTRACT Background studies have suggested that the consumption of green tea provides protection against gastric cancer, few prospective studies have been performed. Methods In January 1984, a total of 26,311 residents in three municipalities of Miyagi Prefecture, in northern Japan (11,902 men and 14,409 women 40 years of age or older), completed a self-administered questionnaire that included questions about the frequency of consumption of green tea. During 199,748 person-years of follow-up, through December 1992, we identified 419 cases of gastric cancer (in 296 men and 123 women). We used Cox regression

    58. NEJM -- Extended Lymph-Node Dissection For Gastric Cancer
    Original Article from The New England Journal of Medicine Extended LymphNodeDissection for gastric cancer. The gastric cancer Treatment Controversy.
    http://content.nejm.org/cgi/content/short/340/12/908
    HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 340:908-914 March 25, 1999 Number 12 Next Extended Lymph-Node Dissection for Gastric Cancer
    J.J. Bonenkamp, J. Hermans, M. Sasako, C.J.H. van de Velde, K. Welvaart, I. Songun, S. Meyer, J.T.M. Plukker, P. Van Elk, H. Obertop, D.J. Gouma, J.J.B. van Lanschot, C.W. Taat, P.W. de Graaf, M.F. von Meyenfeldt, H. Tilanus, for The Dutch Gastric Cancer Group
    Full Text
    PDF
    Editorial
    by Brennan, M. F. ... Chapters at Harrison's
    ABSTRACT Background Curative resection is the treatment of choice for gastric cancer, but it is unclear whether this operation should include an extended (D2) lymph-node dissection, as recommended by the Japanese medical community, or a limited (D1) dissection. We conducted a randomized trial in 80 Dutch hospitals in which we compared D1 with D2 lymph-node dissection for gastric cancer in terms of morbidity, postoperative mortality, long-term survival, and cumulative risk of relapse after surgery. Methods Between August 1989 and July 1993, a total of 996 patients

    59. Screening For Gastric Cancer
    Screening for gastric cancer. 208/04880. Note Separate PDQ summaries on Preventionof gastric cancer and gastric cancer Treatment are also available.
    http://cancerweb.ncl.ac.uk/cancernet/304880.html
    Screening for gastric cancer
    Summary Of Evidence
    Significance
    Evidence Of Benefit
    CancerMail from the National Cancer Institute
    This information is intended mainly for use by doctors and other health care professionals. If you have questions about this topic, you can ask your doctor, or call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237).
    Information from PDQ for Health Professionals
    SUMMARY OF EVIDENCE
    Note: Separate PDQ summaries on Prevention of Gastric Cancer and Gastric Cancer Treatment are also available. There is insufficient evidence to establish that screening would result in a decrease in mortality from gastric cancer in the U.S. population. Level of Evidence: 5 Opinions of respected authorities based on clinical experience, descriptive studies, or reports of expert committees
    SIGNIFICANCE
    Incidence and Mortality
    Risk Factors
    References:
  • Greenlee RT, Hill-Harmon MB, Murray T, et al.: Cancer statistics, 2001. CA: A Cancer Journal for Clinicians 51(1): 15-36, 2001.
  • Fine G, Chan K: Alimentary tract. In: Kissane JM, Ed.: Anderson's Pathology. Saint Louis: CV Mosby, Vol 2, 8th ed., 1985, pp 1055-1095.
  • 60. September 1996 - SMJ: Gastric Cancer And Pernicious Anemia...
    gastric cancer and Pernicious Anemia Appearing as Pseudoachalasia. 11. ElsborgL, Mosbech J Pernicious anaemia as a risk factor in gastric cancer.
    http://www.sma.org/smj/96sept13.htm
    Gastric Cancer and Pernicious Anemia
    Appearing as Pseudoachalasia
    Hussein M. El-Newihi, MD, Gregory W. Dellinger, MD, Anastasios A. Mihas, MD,
    and James L. Achord, MD, Jackson, MS ABSTRACT: An elderly black man was admitted to our institution with macrocytic anemia, dysphagia, and significant weight loss. Results of an esophagogram were suggestive of achalasia. Gastric adenocarcinoma infiltrating the gastric cardia was seen on gastroscopy. The mode of presentation of gastric cancer in this case has not been previously reported in association with pernicious anemia. Patients with pernicious anemia are at higher risk of having gastrointestinal neoplasms than is the general population. We review the current literature and address the controversy concerning the need to subject patients with pernicious anemia to surveillance with upper gastrointestinal endoscopy. CASE REPORT Fig 1 ). The mucosa of the narrowed part was smooth, and barium entered the stomach poorly and in bursts. The possibility of achalasia of the esophagus was raised. Endoscopy of the upper GI tract showed normal esophageal mucosa and a moderately dilated esophageal lumen. The gastroesophageal junction was entered with mild resistance. A retroflexed view revealed a mass in the cardia ( Fig 2 The patient had subtotal proximal gastrectomy and distal esophagectomy with primary anastomosis and splenectomy. The tumor measured 2 cm in diameter and penetrated the gastric wall through the serosa. Ten of the 12 resected lymph nodes were involved with the neoplasm. The tumor was classified as T3, N1, M0. Subsequently, the patient received 25 sessions of external radiation delivering a total of 45 Gy, as well as 2 cycles of 5-fluorouracil and leucovorin. Within 4 months, two new masses were detected in the liver on computed tomography. The patient died of pneumonia 6 months after the initial hospital admission, with evidence of metastatic gastric adenocarcinoma.

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