Triad of Blumer-shelf, sister marry Joseph’s node and kruenburg tumor is a transperitoneal manifestation of which tumor
A. Pacreatic cancer
B. Ovarian tumor
C. Carcinoid tumor
D. Gastric tumor
Answer: D(S)
This triad is the sign of metastasis of gastric carcinoma:
- Blumer's shelf is a finding felt in rectal examination that indicates that a tumor has metastasized to the pouch of Douglas.
- Sister Mary Joseph node: periumbilical lymph node metastasis (subcutaneous)
- Krukenberg tumor: metastatic tumor of the ovary often caused by diffuse gastric cancer
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