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학습 자료 둘러보기 →When a patient presents with alarm symptoms like significant weight loss and dysphagia, the physical assessment must focus on finding direct evidence of a structural lesion. The most significant finding is a palpable epigastric mass, which indicates advanced disease.
Nonspecific findings such as melena (GI bleeding), early satiety, or heartburn can occur in both benign and malignant conditions. A palpable mass provides objective, physical confirmation of a tumor, distinguishing it from functional or inflammatory disorders.
A history of pernicious anemia significantly elevates the risk for gastric adenocarcinoma. New-onset dysphagia in this context should be investigated for pseudoachalasia due to a mass at the gastroesophageal junction.
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