constant epigastric pain especially with pressure palpated over the area for half month, accompanied with nausea and vomiting for a week. Hemoccult (+) and mass palpated. Hepatomegaly, supraclavicular lymphomegaly. Abdominal ultrasound findings: hepatomegaly, ascite; Gastroscopy findings: antral irregular mass 30.x2.5cm. Clinical diagnosis: end-stage gastric cancer Resolution: inpatient treatment, surgical removal