This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Initial presentation is insidious. Patients are most commonly over 50 years of age and develop dyspepsia that may be mistaken for a symptom of an ulcer.

Later features of gastric carcinoma include:

  • anorexia and weight loss in more than 95%
  • pyloric obstruction
  • haematemesis in 5%
  • dysphagia with proximal lesions
  • epigastric pain - late feature
  • palpable mass - 33%
  • hepatomegaly
  • peritoneal seedlings which may lead to:
    • ascites
    • ovarian mass (Krukenburgs tumour)
    • pelvic mass
  • enlarged left supraclavicular node - Virchow's node, Troisier's sign
  • may present with perforation
  • association with acanthosis nigricans and dermatomyositis
  • pleural effusions if the cancer has spread to the lungs
  • Sister Joseph nodule

Related pages

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page