This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
An adult presented with hematemesis and upper abdominal pain. Endoscopy revealed a growth at the pyloric antrum of the stomach. CT scan showed growth involving the pyloric antrum without infiltration or invasion into surrounding structures and no evidence of distant metastasis. At laparotomy neoplastic growth was observed to involve the posterior wall of the stomach and the pancreas extending 6cm up to the tail of the pancreas. What will be the most appropriate surgical management 
Select and explain. 
A. Closure of the abdomen, B. Antrectp, u amd vagotomy, C. Paial gastrectomy + Distal pancreatectomy, D. Paial gastrectomy + Distal pancreatectomy + splenectomy
C: Paial gastrectomy + Distal pancreatectomy
Answer: C: Paial gastrectomy + Distal pancreatectomy 
Explanation: Palliative procedures like palliative paial gastrectomy, anterior gastrojejunostomy, Devine's exclusion procedure, luminal stenting in proximal inoperable growths, chemotherapy are used in inoperable cases. * In early carcinoma proper lymph nodal clearance is impoant. Antrectomy is also called as hemi-gastrectomy. Removal of 60-75% stomach is called a paial gastrectomy. Removal of more than 80% of the stomach is called a subtotal gastrectomy. Distal pancreatectomy or central pancreatectomy or total pancreatectomy for cystadenocarcinoma of pancreas depending on the extent and size of a tumour . Ref: SRB&;s manual of surgery,3 rd ed, pg no 636