Neoadjuvant and Adjuvant Therapy for Gastric Cancer
Author and Disclosure Information [Show]

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.

More from Board Review Questions: Hematology/Oncology

QUIZ

Autoimmune Hemolytic Anemia
Gastrointestinal Stromal Tumors
Testicular Cancer
Management of Advanced Melanoma
Castration-Resistant Prostate Cancer
Transfusion Reactions (part 2)
Transfusion Reactions (part 1)
Plasma Cell Disorders (part 3)
Plasma Cell Disorders (part 2)
Chronic Myeloid Leukemia
Aplastic Anemia
Small Cell Lung Cancer
Management of Metastatic Gastric Cancer
Transfusion Medicine
Management of Colorectal Cancer in Older Adults
Urothelial Carcinoma: Muscle-Invasive and Metastatic Disease
Acute Myeloid Leukemia
Pancreatic Adenocarcinoma: Advanced Unresectable and Metastatic Disease
HER2-Positive Breast Cancer
Aggressive B-Cell Non-Hodgkin Lymphoma
Von Willebrand Disease: Assessment and Diagnostic Testing
Von Willebrand Disease: Clinical Management
Pancreatic Adenocarcinoma: Neoadjuvant and Adjuvant Treatment
Late Pulmonary Complications After Hematopoietic Stem Cell Transplantation
Polycythemia Vera and Essential Thrombocythemia: Current Management
Treatment of Biliary Tract Cancers
Early Pulmonary Complications After Hematopoietic Stem Cell Transplantation
Hairy Cell Leukemia
Genomic Testing in Women with Early-Stage Hormone Receptor–Positive, HER2-Negative Breast Cancer
Immune Thrombocytopenia
Cancer-Related Fatigue
Disseminated Intravascular Coagulation
Advanced Stage and Relapsed/Refractory Hodgkin Lymphoma
Adjuvant Chemotherapy for Colon Cancer
Molecular Markers and Targeted Therapies in the Management of Non-Small Cell Lung Cancer
Metastatic Cutaneous Melanoma: Targeted Therapy and Immunotherapy
Thrombosis in Pregnancy
Locally Advanced Pancreatic Cancer
Early-Stage Hodgkin Lymphoma
Hemophilia A and B
Mantle Cell Lymphoma
Soft Tissue Sarcoma
Sickle Cell Disease
Renal Cell Carcinoma
Management of Locally Advanced Rectal Adenocarcinoma
Adjuvant Systemic Therapy for Early-Stage Breast Cancer
Chronic Myeloid Leukemia
Plasma Cell Disorders
Myelodysplastic Syndromes
Acute and Chronic Graft-versus-Host Disease