ABSTRACT
Gastric cancer is usually an adenocarcinoma. Spread of this tumour is to lymph nodes, which can result in a Virchow node – supraclavicular lymphadenopathy on the le side as a result of internal malignancy. is is also known as Troisier sign. Gastric cancer can also spread to the ovaries via the peritoneum. e presence of an adenocarcinoma at the ovary that occurs secondary to gastric adenocarcinoma is known as a Krukenburg tumour. Gastric tumours may metastasize to the umbilicus. e presence of an umbilical metastasis is known as a Sister Joseph nodule. It looks like a hard, red lump adjacent to the umbilicus. e features of gastric carcinoma are oen vague, and therefore such tumours oen present late. Patients may present with epigastric pain that radiates to the back, vomiting due to pyloric obstruction, anorexia and weight loss. If liver metastases occur, jaundice may also be a feature. e diagnosis of gastric carcinoma is by endoscopy and biopsy. Management is by gastrectomy and lymph node clearance.
