Patient Presents With Question & Answer Guide (With Explanation)

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This question relates to patient presents with and requires a structured academic response.

How to Approach This Question

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Key Explanation

This topic involves patient presents with. A strong answer should include explanation, application, and examples.

Original Question

Patient presents with abdominal discomfort, bloating, nausea, and early satiety 02/22/2023 EGD demonstrates ulcerating non-bleeding mass at greater curvature of the stomach, bx reveals poorly differentiated adenocarcinoma. 02/25/2023 endoscopic ultrasound (EUS) demonstrates hypoechoic, circumferential mass in greater curvature of stomach measuring 6.1 cm with irregular borders with invasion into muscularis propria. Two pathologically enlarged left gastric and two enlarged right paracardial lymph nodes measuring at least 1.8 cm by endosonographic criteria. Treatment plan discussed with the patient which will include 4 cycles of chemotherapy & immunotherapy followed by gastrectomy. Following 4 cycles of chemo-immunotherapy the patient was taken to the OR for planned partial gastrectomy. There was residual adenocarcinoma, poorly differentiated, with decrease in size of the tumor, now measuring 1.6 cm. Tumor invaded muscularis propria. All surgical margins were negative for invasive carcinoma. A total of 3/16 perigastric lymph nodes resected positive for metastases.

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