What is the most likely diagnosis for a 64-year-old man with a history of gastritis (inflammation of the stomach) and a lymph node in the left supraclavicular area, who has been asymptomatic for 5 years, has no palpable abdominal masses, and has a neutral pH on gastric analysis?

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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