True about Gastric carcinoma are all, except:
Correct Answer: Haemetemesis present in majority of patients
Description: Ans is A (Haemetemesis present in majority of patients) Option C There is confusion about option C. It is not a completely true statement, but it's not totally false either. See the explanation below: D2 gastrectomy refers to the extent of lymphadenectomy done along with the gastrectomy. Extended lymph node dissections for the treatment of gastric cancer have best been described by the Japanese, and subsequently the JCGC D categories are used to define the extent of lymphatic dissection performed. In the JCGC (Japanese classification of gastric cancer) system, lymph node basins are numbered and subsequently grouped according to the location of the primary. These are grouped into 3 levels: N1, N2 & N3. The nodal stations defined as level NI, N2, and N3 vary depending on the location of the tumor. In general, N1 nodes are within 3 cm of the tumor, N2 nodes are along the hepatic and splenic aeries, and N3 nodes are the most distant. A D1 gastrectomy refers to the removal of NI lymph nodes, D2 gastrectomy to dissection of 1\11 and N2, and D3 resection to a D2 resection plus removal of para-aoic lymph nodes.
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