Management of Metastatic Gastric Cancer
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Sakshi Jasra, MD
Hematology/Oncology Fellow, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY

Lakshmi N. Rajdev, MD
Associate Professor of Medicine, Department of Medical Oncology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY

Question 1 of 5

Questions 1–4 refer to the following case:

A 55-year-old Caucasian man with a history of type 2 diabetes mellitus presents to the gastroenterology clinic with a 6-month history of dysphagia. The dysphagia is worsened with solids, particularly towards the end of the day. He states that the food often gets “stuck in the middle of the chest.” The patient denies any nausea, emesis, abdominal pain, or changes in weight. There is no previous history of reflux, chest pain, dyspnea, or cough. Review of systems is otherwise benign. Physical exam is within normal limits.

What is the next best step in the management of this patient?

Computed tomography (CT) chest with and without intravenous contrast

Esophagogastroduodenoscopy (EGD)

Barium swallow

EGD and CT chest, abdomen, and pelvis without contrast

Hospital Physician: Hematology/Oncology. 2018 October;13(5)

This quiz is not accredited for CME.

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