Neoadjuvant and Adjuvant Therapy for Gastric Cancer
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Audrey E. Kam, MD
Hematology-Oncology Fellow, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY

Lakshmi Rajdev, MD
Associate Professor of Medicine, Department of Medical Oncology, Montefiore Medical Center, Bronx, NY

Question 1 of 5

Questions 1 and 2 are based on the following case.
A 72-year-old Caucasian man with a past medical history of hypertension and hyperlipidemia presents with epigastric abdominal pain and melena for 5 days. He also endorses a 10-lb weight loss over the past month. Physical exam is notable only for epigastric tenderness. Laboratory testing reveals a hemoglobin level of 10.9 g/dL with a mean corpuscular volume of 84 fL; baseline hemoglobin is 12.8 g/dL measured 3 months ago. He undergoes an esophagogastroduodenoscopy (EGD), which reveals a large cratered ulcer in the gastric cardia. Biopsy of the lesion demonstrates invasive adenocarcinoma. Computed tomography (CT) of the abdomen/pelvis reveals a 5.1 × 1.1 cm area of irregular wall thickening along the cardia of the stomach and prominent lymph nodes in the gastric hepatic ligament measuring up to 1 cm.

Which of the following evaluations is needed to complete the staging work-up?

Chest CT scan

Measurement of carcinoembryonic antigen, cancer antigen 19-9, and chest CT scan

Chest CT scan and endoscopic ultrasound

Chest CT scan and diagnostic laparoscopy

Chest CT scan, endoscopic ultrasound, and diagnostic laparoscopy

Hospital Physician: Hematology/Oncology. 2017 March;12(2)

This quiz is not accredited for CME.

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