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Anterior abdominal pain may or may not be present
 
Anterior abdominal pain may or may not be present
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Adenocarcinomas: frequently metastasise to the regional lymph nodes (gastroduodenal and splenic lymph nodes), also the liver and sometimes the lungs. They are also locally aggressive and can cause stomach wall perforation resulting in peritonitis. Other complications include:
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* Pyloric outflow obstruction
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* Ischaemic necrosis - where tumour plugs develop in the surrounding vasculature
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Leiomyosarcomas: rarely metastasise.
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Lymphoma: may be limited to the stomach, may affect lymph nodes and other abdominal organs or may be multicentric.
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Plasmacytoma: metastasis is frequently evident in local lymph nodes.
 
===Haematology and biochemistry===
 
===Haematology and biochemistry===
 
A Regerative anaemia may be present due to gastric haemorrhage. Electrolyte disturabnces will be evident following vomiting and also elevated BUN and creatinine levels due to dehydration.
 
A Regerative anaemia may be present due to gastric haemorrhage. Electrolyte disturabnces will be evident following vomiting and also elevated BUN and creatinine levels due to dehydration.
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