Stomach cancer physical examination: Difference between revisions
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{{Stomach cancer}} | {{Stomach cancer}} | ||
==Overview== | ==Overview== | ||
Patients with stomach cancer generally appear healthy. Common physical examination findings include abdominal distention, palpation of an abdominal mass, and pallor. [[Leser-Trelat sign]] and presence of Virchow's node (left supraclavicular lymphadenopathy), [[Sister Mary Joseph nodule]] (visible periumbilical nodule), Blumer's shelf (rectal mass/shelf on rectal exam) and/or [[Trousseau's syndrome]] (migratory phlebitis) on physical examination are highly suggestive of stomach cancer. | Patients with stomach cancer generally appear healthy. Common physical examination findings include abdominal distention, palpation of an abdominal mass, and pallor. [[Leser-Trelat sign]] and presence of [[Virchow's node]] (left supraclavicular lymphadenopathy), [[Sister Mary Joseph nodule]] (visible periumbilical nodule), Blumer's shelf (rectal mass/shelf on rectal exam) and/or [[Trousseau's syndrome]] (migratory phlebitis) on physical examination are highly suggestive of stomach cancer. | ||
==Physical Examination== | ==Physical Examination== | ||
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*Ovarian mass may be suggestive of [[Krukenberg tumor|Krukenberg syndome]] | *Ovarian mass may be suggestive of [[Krukenberg tumor|Krukenberg syndome]] | ||
===Extremities=== | ===Extremities=== | ||
*[[ | *[[Trousseau's syndrome]]: Migratory phlebitis commonly associated with visceral malignancy | ||
*[[Muscle weakness]] | *[[Muscle weakness]] | ||
Revision as of 16:26, 27 August 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2]
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Overview
Patients with stomach cancer generally appear healthy. Common physical examination findings include abdominal distention, palpation of an abdominal mass, and pallor. Leser-Trelat sign and presence of Virchow's node (left supraclavicular lymphadenopathy), Sister Mary Joseph nodule (visible periumbilical nodule), Blumer's shelf (rectal mass/shelf on rectal exam) and/or Trousseau's syndrome (migratory phlebitis) on physical examination are highly suggestive of stomach cancer.
Physical Examination
General Appearance
- Patients with gastric cancer generally appear healthy
- Patients may appear weak
Skin
- Pallor
- Jaundice may appear if hepatic obstruction occurs
- Acanthosis nigricans
- Leser-Trelat sign: acute-onset multiple seborrheic keratosis lesions that are usually located on the patient's back
Neck
- Virchow's node: Left supraclavicular adenopathy
Abdomen
- Abdominal distention
- Abdominal mass on palpation
- Sister Mary Joseph nodule: A visible periumbilical nodule that is highly suggestive of umbilical metastasis
- Splenomegaly
- Ascites
Rectum
- Blood on rectal exam
- Blumer's shelf: Rectal mass/shelf palpable on rectal exam
Genitourinary
- Ovarian mass may be suggestive of Krukenberg syndome
Extremities
- Trousseau's syndrome: Migratory phlebitis commonly associated with visceral malignancy
- Muscle weakness