Stomach cancer: Types, Symptoms and Treatment

Stomach cancer is not the same as stomach cancer. Various diseases can be hidden under this term. The good news is that both the number of new cases and the cause of death from gastric cancer are declining.

The stomach serves as a storage place for our food. It does important preparatory work for our digestion by mixing the food we eat with gastric juice and finally passing this pulp on to the intestines in small quantities. This organ can also become cancerous. Men and the over 50 age group are particularly affected. Even if the chances of recovery are rather poor (only about 30% of patients survive more than five years after diagnosis), there has been a decrease in new cases and fatal outcomes. This is probably due to a more conscious and healthy diet, which has become the focus of society in recent years.

types of gastric cancer

There are different types of gastric cancer : adenocarcinomas (approx. 95% of all gastric cancers are adenocarcinomas), squamous cell carcinomas and the rare gastrointestinal stromal tumors (GIST) and neuroendocrine tumors (NET). While adenocarcinomas originate in glandular cells of the gastric mucosa, squamous cell carcinomas arise in the skin cells between the glands. This cancer is also in other organs and especially on the actual skinlocated, potentially, where there are skin cells. GIST occurs in the connective tissue of the gastrointestinal tract (a third of its occurrences are therefore also found in the small intestine) and NET is a malformation of the neuroectoderm where hormones are produced. When cells evade the normal control of their growth, they begin to proliferate – becoming cancerous cells that invade and destroy other cells. All of these cell proliferations can be benign and malignant – this is what needs to be found out in the event of an illness.

Symptoms of gastric cancer

Digestive problems and disturbing or painful sensations in the stomach area are an indication of, for example, stomach cancer. An internist is able to make an accurate diagnosis. Self-diagnoses are not recommended at this point; the symptoms can indicate a variety of diseases and should therefore only be interpreted by a specialist. Symptoms include nausea, loss of appetite, and upper abdominal pain. Other symptoms include frequent nausea, difficulty swallowing, and unexplained weight loss. If you see dark discoloration in the stool, this could be due to bleeding in the stomach as a result of the carcinoma. Of course, other diseases canproduce similar complaints – the cause behind your complaints does not necessarily have to be stomach cancer. And here, too, the question must first be clarified as to whether the tumor is benign or malignant. A malignant tumor spreads metastases, i.e. secondary tumors that have to be found and fought as well. Metastases are either surgically removed or at least observed to rule out or contain further growth. The ‘benign’ tumor, on the other hand, remains confined to its primary location and does not invade any neighboring tissue.

If you notice symptoms that indicate stomach cancer, you should definitely consult a doctor. He will carry out further examinations and make a clear diagnosis. When it comes to cancer, the time of diagnosis is extremely crucial, because the early stages of the disease are always associated with higher chances of recovery.

What causes are known?

Infection with the bacterium Helicobacter pylori is thought to be responsible for many cases of gastric cancer. Unlike many other bacteria, it is not killed by stomach acid. Iron deficiency, poor nutrition, drinking water with a high nitrate load and also smoking are other causes and risk factors for developing colon cancer. Frequent inflammation of the gastric mucosa can also lead to gastric carcinoma, as this reduces the amount of gastric acid and thus reduces the stomach’s natural defenses. If gastric cancer metastasizes, it can grow into neighboring organs, including the uterus. This finding has its own name: Krukenberg tumor. GIST carcinomas spread to the liver and abdominal cavity, sometimes to the bones, skin and other soft tissues. NET carcinomas are noticeable due to the overproduction of hormones in the affected neuroendoctrine cells. In the stomach, this will be an excessive release of gastrin – the result is hyperacidity and the Zollinger-Ellison syndrome as a finding.

treatment of gastric cancer

The ulcers are identified by gastroscopy using an endoscope, sonography and magnetic resonance imaging. NET carcinomas can be detected early by blood tests in the laboratory. The treatment of tumors of the GIST type, which leave no traces in the blood, becomes more difficult. A tyrosine kinase inhibitor imatinib (tablet) is used against GIST, which acts anywhere in the body. The treatment of gastric cancer depends on its stage of development; however, the tumors are usually removed by surgery. Depending on the size, this can mean a partial or complete removal of the stomach. In the case of cancer in a very advanced stage, palliative chemotherapy is only used to try to alleviate the symptoms, but with no prospect of a cure. Even a successful operation is treated with chemotherapy. This is intended to prevent new metastases or the further growth of existing growths.

Prevention and reduction of cancer risk

Preventive medical check-ups are particularly recommended from the age of 50 to 60, since the organism can usually regulate cell malfunctions itself in younger people. Genetic factors also play a role in the risk of developing gastric cancer. A susceptibility to gastric cancer (HNPCC tumor syndrome) can be inherited and people with blood type A are also at increased risk.

Crystal Waston MD

Crystal Waston has a degree in Cross Media Production and Publishing. At vital.de she gives everyday tips and deals with topics related to women's health, sport, and nutrition.

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