Gastric Cancer

12 min read

Gastric cancer, also known as stomach cancer, is a type of cancer that begins in the stomach. It is the fifth most common cancer in the world, and the third leading cause of cancer-related death. It is most common in Japan, Eastern Europe, and parts of South America.

Risk Factors

Risk factors for gastric cancer include age, gender, diet, smoking, and family history. People over the age of 50 are more likely to develop gastric cancer, as are men. Eating a diet high in smoked, salted, or pickled foods, and smoking cigarettes can also increase the risk. People with a family history of gastric cancer are also more likely to develop the disease.

Diagnosis

Gastric cancer is usually diagnosed through a combination of physical exams, imaging tests, and biopsies. Physical exams may include a rectal exam, an abdominal exam, and a pelvic exam. Imaging tests such as X-rays, CT scans, and MRI scans can help to identify tumors. Biopsies are used to confirm the diagnosis and determine the type of cancer.

Outlook

The outlook for gastric cancer depends on the stage of the cancer and the patient's overall health. Early diagnosis and treatment can improve the chances of survival. Treatment options include surgery, chemotherapy, and radiation therapy.

Take the Gastric Cancer Assessment

Symptoms

Common Symptoms of Gastric Cancer

  • Unexplained weight loss
  • Loss of appetite
  • Abdominal pain
  • Nausea and vomiting
  • Bloating of the stomach after meals
  • Heartburn
  • Indigestion
  • Fatigue
  • Blood in the stool

If you experience any of these symptoms, it is important to see your doctor as soon as possible. While these symptoms can be caused by other conditions, they can also be signs of gastric cancer.

Diagnosing Gastric Cancer

If your doctor suspects that you may have gastric cancer, they will likely order a number of tests to confirm the diagnosis. These tests may include an endoscopy, a biopsy, imaging tests such as an X-ray or CT scan, and blood tests. Once the diagnosis is confirmed, your doctor will discuss treatment options with you.

Treating Gastric Cancer

Treatment for gastric cancer will depend on the stage of the cancer and the patient’s overall health. Treatment options may include surgery, chemotherapy, radiation therapy, or a combination of these treatments. Your doctor will discuss the best treatment plan for you.

Gastric cancer can be a serious condition, but with early diagnosis and treatment, it can be managed. If you experience any of the symptoms listed above, it is important to see your doctor as soon as possible.

Causes

Risk Factors for Gastric Cancer

The following are some of the risk factors that have been associated with an increased risk of developing gastric cancer:

  • Age: Gastric cancer is more common in people over the age of 50.
  • Gender: Men are more likely to develop gastric cancer than women.
  • Family history: People with a family history of gastric cancer are more likely to develop the disease.
  • Diet: A diet high in smoked, salted, or pickled foods has been linked to an increased risk of gastric cancer.
  • Smoking: Smoking has been linked to an increased risk of gastric cancer.
  • Infection: Certain types of bacteria, such as Helicobacter pylori, have been linked to an increased risk of gastric cancer.

It is important to note that having one or more of these risk factors does not necessarily mean that you will develop gastric cancer. However, it is important to be aware of these risk factors and to talk to your doctor if you have any concerns.

Getting a Diagnosis

Endoscopy

An endoscopy is a procedure that uses a thin, flexible tube with a camera and light on the end to look inside the stomach. During the procedure, the doctor can take tissue samples (biopsies) to be tested for cancer. Endoscopy is the most common way to diagnose gastric cancer.

Biopsy

A biopsy is a procedure in which a small sample of tissue is taken from the stomach and examined under a microscope. This can help the doctor determine if cancer cells are present. Biopsies are usually taken during an endoscopy.

Imaging Tests

Imaging tests, such as X-rays, CT scans, and MRI scans, can be used to look for tumors in the stomach. These tests can also help the doctor determine the size and location of the tumor.

Blood Tests

Blood tests can be used to look for certain proteins that may be present in the blood of people with gastric cancer. These tests are not used to diagnose gastric cancer, but they can help the doctor determine the stage of the cancer.

Conclusion

Early diagnosis of gastric cancer is key to successful treatment. Endoscopy, biopsy, imaging tests, and blood tests are all used to diagnose gastric cancer. If you have any symptoms of gastric cancer, it is important to see your doctor for a diagnosis.

Questions for Your Doctor

Symptoms

Be sure to tell your doctor about any symptoms you may be experiencing. Common symptoms of gastric cancer include:

  • Unexplained weight loss
  • Abdominal pain
  • Nausea and vomiting
  • Loss of appetite
  • Feeling full after eating only a small amount
  • Blood in the stool

Risk Factors

Your doctor will also want to know about any risk factors you may have for developing gastric cancer. Risk factors include:

  • Age – gastric cancer is more common in people over the age of 50
  • Gender – men are more likely to develop gastric cancer than women
  • Family history – having a family member with gastric cancer increases your risk
  • Smoking – smokers are more likely to develop gastric cancer than non-smokers
  • Diet – a diet high in processed meats and low in fruits and vegetables increases your risk
  • Infection – having a Helicobacter pylori infection increases your risk

Diagnosis and Treatment

Your doctor will discuss the various tests and procedures used to diagnose gastric cancer. These may include an endoscopy, biopsy, imaging tests, and blood tests. Your doctor will also discuss the various treatment options available, such as surgery, chemotherapy, and radiation therapy.

Follow-up Care

Your doctor will also discuss the importance of follow-up care after treatment. This may include regular check-ups, imaging tests, and blood tests. Follow-up care is important to ensure that the cancer has not returned or spread.

Questions and Concerns

Be sure to ask your doctor any questions or express any concerns you may have about gastric cancer. Your doctor is there to help you understand your condition and make informed decisions about your care.

Treatment

Surgery

Surgery is the most common treatment for gastric cancer. Depending on the stage and type of cancer, the surgeon may remove part or all of the stomach. This is known as a gastrectomy. In some cases, the surgeon may also remove nearby lymph nodes and other tissues. Surgery is often combined with other treatments, such as chemotherapy and radiation therapy.

Chemotherapy

Chemotherapy is a type of cancer treatment that uses drugs to kill cancer cells. It is often used in combination with surgery to treat gastric cancer. The drugs are usually given intravenously (through a vein) or orally (by mouth). Chemotherapy can help shrink tumors and reduce the risk of the cancer coming back.

Radiation Therapy

Radiation therapy is another type of cancer treatment that uses high-energy beams of radiation to kill cancer cells. It is often used in combination with surgery and chemotherapy to treat gastric cancer. Radiation therapy can help shrink tumors and reduce the risk of the cancer coming back.

Targeted Therapy

Targeted therapy is a type of cancer treatment that uses drugs to target specific molecules in cancer cells. It is often used in combination with other treatments, such as surgery, chemotherapy, and radiation therapy. Targeted therapy can help shrink tumors and reduce the risk of the cancer coming back.

Immunotherapy

Immunotherapy is a type of cancer treatment that uses the body’s own immune system to fight cancer cells. It is often used in combination with other treatments, such as surgery, chemotherapy, and radiation therapy. Immunotherapy can help shrink tumors and reduce the risk of the cancer coming back.

Clinical Trials

Clinical trials are research studies that test new treatments for cancer. They are often used to test new drugs or combinations of treatments. Clinical trials can help doctors find new and better ways to treat cancer. If you are interested in participating in a clinical trial, talk to your doctor about your options.

Drugs & Medications

Chemotherapy

Chemotherapy is one of the most common treatments for gastric cancer. It involves using drugs to kill cancer cells. The drugs used in chemotherapy can vary, but they typically include fluorouracil, capecitabine, oxaliplatin, and irinotecan. Chemotherapy can be used alone or in combination with other treatments.

Targeted Therapy

Targeted therapy is a type of treatment that uses drugs to target specific molecules in cancer cells. This type of therapy can be used to slow the growth of cancer cells or to stop them from spreading. Some of the drugs used in targeted therapy for gastric cancer include trastuzumab, cetuximab, and ramucirumab.

Immunotherapy

Immunotherapy is a type of treatment that uses drugs to boost the body’s natural immune system. This type of therapy can be used to help the body fight off cancer cells. Some of the drugs used in immunotherapy for gastric cancer include pembrolizumab and nivolumab.

Hormonal Therapy

Hormonal therapy is a type of treatment that uses drugs to block the effects of hormones on cancer cells. This type of therapy can be used to slow the growth of cancer cells or to stop them from spreading. Some of the drugs used in hormonal therapy for gastric cancer include letrozole and anastrozole.

Conclusion

Gastric cancer can be difficult to treat, but there are a number of drugs available to help. Chemotherapy, targeted therapy, immunotherapy, and hormonal therapy are all options for treating gastric cancer. It is important to talk to your doctor about the best treatment option for you.

Diet

Foods to Eat

  • Fruits and vegetables: Eating plenty of fruits and vegetables is important for overall health and can help reduce the risk of developing gastric cancer. Choose a variety of colors and types to get the most nutrients.
  • Whole grains: Whole grains are a great source of fiber and other important nutrients. Choose whole grain breads, cereals, and pastas instead of refined grains.
  • Lean proteins: Lean proteins such as fish, poultry, and beans are important for maintaining muscle mass and providing essential nutrients. Choose lean cuts of meat and opt for plant-based proteins when possible.
  • Healthy fats: Healthy fats such as olive oil, nuts, and avocados are important for providing essential fatty acids and helping to reduce inflammation. Choose unsaturated fats instead of saturated fats.

Foods to Avoid

  • Processed foods: Processed foods are often high in sodium, sugar, and unhealthy fats. Avoid processed meats, snacks, and other packaged foods.
  • Refined grains: Refined grains such as white bread and white rice are low in fiber and other important nutrients. Choose whole grains instead.
  • Sugary drinks: Sugary drinks such as soda and juice are high in calories and can increase the risk of developing gastric cancer. Choose water or unsweetened tea instead.
  • Alcohol: Alcohol can increase the risk of developing gastric cancer. Avoid alcohol or limit consumption to no more than one drink per day.

Eating a healthy diet is important for overall health and can help reduce the risk of developing gastric cancer. Choose a variety of fruits and vegetables, whole grains, lean proteins, and healthy fats. Avoid processed foods, refined grains, sugary drinks, and alcohol.

Lifestyle

Eat a Healthy Diet

Eating a healthy diet is one of the best ways to reduce your risk of developing gastric cancer. Eating a diet that is rich in fruits, vegetables, whole grains, and lean proteins can help to reduce your risk. Avoiding processed and fried foods can also help to reduce your risk. Additionally, limiting your intake of red and processed meats can help to reduce your risk.

Maintain a Healthy Weight

Maintaining a healthy weight is important for reducing your risk of developing gastric cancer. Being overweight or obese can increase your risk of developing this type of cancer. Eating a healthy diet and exercising regularly can help you to maintain a healthy weight.

Avoid Smoking and Alcohol

Smoking and drinking alcohol can increase your risk of developing gastric cancer. If you smoke, it is important to quit as soon as possible. If you drink alcohol, it is important to limit your intake to no more than one drink per day for women and two drinks per day for men.

Get Regular Screenings

Getting regular screenings for gastric cancer can help to detect the disease in its early stages. Talk to your doctor about the best screening options for you. Early detection can help to improve your chances of successful treatment.

Manage Stress

Stress can increase your risk of developing gastric cancer. It is important to find ways to manage your stress levels. Exercise, meditation, and spending time with friends and family can help to reduce your stress levels.

Conclusion

Gastric cancer is a serious and potentially life-threatening condition. Taking steps to reduce your risk of developing this type of cancer is important. Eating a healthy diet, maintaining a healthy weight, avoiding smoking and alcohol, getting regular screenings, and managing stress can all help to reduce your risk of developing gastric cancer.