• Anaemia, asthenia and anorexia in patients over 40 years of age.
• Palpable abdominal mass.
• Occult blood in stool.
• Gastroscopic and X-ray abnormality with positive
• The less common manifestations include post-
prandial distress simulating peptic ulcer and diarrhoea due to associated achlorhydria. Enlarged Virchow’s (left supraclavicular) nodes, Krukenberg’s tumour in female, enlarged hard nodular liver, ascites, pelvic mass and pathological fractures denote metastasis.
• Radiological findings vary according to the type of lesion, i.e. ulcerative, polypoid, infiltrating or combi- nations. The findings can be summarised as:
– Ulcer more than 1 cm in diameter.
– Annular narrowing near pylorus or in fundus. – Pyloric elongation, narrowing or rigidity.
– Diffuse fibrosis (linitis Plastica).
– Hyper rugosity.
-If distant metastasis is present palliation with radia- tion therapy, with 5 fluorouracil, gastroentero- stomy or palliative resection can prolong life.
-If the tumour is localised to stomach sub-total gastrectomy is the standard treatment.