Friday, July 12, 2013

Total gastrectomy for signet ring or poorly differntiated ca antral region stomach

We recommend that for a distal gastric tumour which on histopath is a signet ring ca or  poorly differentiated ca we should go ahead with a total gastrectomy as they have a sub mucosal spread. If one feels that distal radical gastrectomy is sufficient then should always do frozen section examination of margins.

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