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학습 자료 둘러보기 →A palpable epigastric mass with enlarged lymph nodes is the most specific clinical finding for advanced gastric cancer. This indicates the tumor has extended through the gastric wall and metastasized via the lymphatic system.
Assess for distant node involvement, specifically Virchow's node in the left supraclavicular area. Early symptoms like epigastric discomfort or weight loss are nonspecific and often lead to delayed diagnosis.
A palpable mass with lymphadenopathy strongly suggests Stage III or IV disease. Immediate referral for confirmatory imaging and biopsy is critical, as gastric cancer often presents late.
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