Which structures can be locally invaded?
Peritoneal carcinomatosis
Infiltration of structures such as the esophagus, transverse colon, and pancreas
Which organs can be affected in hematogenous spread?
Skeleton
Liver
Lung
Brain
List pathognomic signs of lymphangitic spread.
Virchow node: left supraclavicular lymph node metastasis
Celiac, paraaortic, and mesenteric lymph nodes
Sister Mary Joseph node: periumbilical lymph node metastasis (subcutaneous)
Krukenberg tumor
Lymph nodes of the lesser and greater curvature
Mediastinal lymph nodes (in carcinoma of the cardia
How is the direct seeding to the pouch of douglas called?
Blumer shelf.
Menmonic?
The Skeleton (bones), Liver, Lung, and Brain are the structures most commonly affected by hematogenous spread of gastric cancer: Zombie SKELETONs don't LIVE LONG (lung) without eating BRAINs.
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