What are S&S of gastric adenocarcinoma?

Early: Mostly asymptomatic. Late: Anorexia/weight loss, nausea, vomiting, dysphagia, melena, hematemesis; pain is constant, nonradiating, exacerbated by food. Anemia—from blood loss, pernicious. Krukenberg’s tumor—metastasis to ovaries Blumer’s shelf—metastasis to pelvic cul-de-sac, felt on digital rectal exam Virchow’s node—metastasis to lymph node palpable in left supraclavicular fossa Sister Mary Joseph’s nodule—metastasis to the umbilical lymph nodes