Dr. Vaibhav Goyal (General Surgery) needs a second opinion on this medical case.
A 69 y/o male presented with haematemesis. He complaints of loss of appetite & 7 kg weight loss in 2 months.
BP: 110/75 mmhg, Pulse: 75 bpm, Resp rate: 16 bpm, Temp: 98.8 degree F.
Physical examination shows no abdominal mass or lymphadenopathy.
Endoscopy showed a large tumour in the gastric antrum.
Endoscopic biopsies revealed a primary gastric adenocarcinoma.
Advise the line of management.