Snapshot A 56-year-old man presents to his primary care physician for abdominal pain. His abdominal pain is in the epigastrium and has been persistent. He has had episodes of night sweats and has unintentionally lost 20 pounds over the course of 3 months. He has a past medical history of H. pylori infection and obesity. Physical examination is notable for epigastric abdominal tenderness upon palpation. An upper endoscopy demonstrates an invasive ulcerative lesion in the stomach. Introduction Overview login to view 10 more bullets Epidemiology login to view 10 more bullets Pathophysiology login to view 5 more bullets Presentation Symptoms login to view 4 more bullets Physical examination login to view 2 more bullets Imaging Endoscopy login to view 2 more bullets Barium studies login to view 2 more bullets Differential Gastric lymphoma login to view 3 more bullets Gastric stromal cancer login to view 2 more bullets Neuroendocrine (carcinoid) tumor login to view 4 more bullets Treatment Treatment is dependent on the stage of the cancer login to view 1 more bullet Surgical login to view 6 more bullets Complications Virchow node login to view 1 more bullet Krukenberg tumor login to view 1 more bullet Sister Mary Joseph nodule login to view 1 more bullet