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Alarm symptoms
| Age over 55 with new onset symptoms |
| Family history of gastric cancer |
| Unintended weight loss |
| Gastrointestinal bleeding |
| Progressive dysphagia |
| Odynophagia |
| Unexplained iron deficiency anemia |
| Persistent vomiting |
| Palpable mass or lymphadenopathy |
| Jaundice |
