Stomach cancer (patient information): Difference between revisions

	Stomach cancer
Overview
What are the symptoms?
Who is at highest risk?
When to seek urgent medical care?
Treatment options
Where to find medical care for Stomach cancer?
Prevention
What to expect (Outlook/Prognosis)?
Possible Complications
Stomach cancer On the Web
Ongoing Trials at Clinical Trials.gov
Images of Stomach cancer
Videos on Stomach cancer
FDA on Stomach cancer
CDC on Stomach cancer
Stomach cancer in the news
Blogs on Stomach cancer
Directions to Hospitals Treating Stomach cancer
Risk calculators and risk factors for Stomach cancer

VisualWikitext

Latest revision as of 00:17, 30 July 2020

For the WikiDoc page for this topic, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jinhui Wu, M.D.

Overview

Stomach cancer is a common digestive tract cancer in some Asian areas such as Japan and China, but in the United States, the number of people diagnosed with the disease is declining in recent years. Stomach cancer is cancer that occurs in the stomach which is responsible for receiving and holding the food you eat and then helping to break down and digest it. Gastric cancer is another term for this disease. Adenocarcinoma is the most common type of stomach cancer. The disease begins on the surface of the gastric mucosa. Usual symptoms include upper abdominal pain, loss of appetite, weight loss, nausea, vomiting, etc. If not treated, the cancer invades more deeply into the muscular layer and nearby tissues. The cancer cells can spread by breaking away from the original tumor. They enter blood vessels or lymph vessels, which branch into all the tissues of the body. The cancer cells may attach to other tissues and grow to form new tumors that may damage those tissues.

What are the symptoms of stomach cancer?

Early stomach cancer does not have any symptoms. When the cancer grows larger, people may notice one or more symptoms, such as the following:

Abdominal symptoms

Abdominal pain- At first the location may be in the upper or middle abdomen. It is typically a relatively mild pain. With the development of the cancer, abdominal pain may be persistent.
Loss of appetite- Some patients endure a loss of appetite without any inducement.
Nausea and vomiting- This is also because of the affect of the lump. It disturbs the normal digestive functions.
Vomiting blood- Sometimes a massive hemorrhage of the gastrointestinal tract may occur.
Vague abdominal fullness- This is because of the development of the lump.
Premature abdominal fullness after meals: This is induced by the decreased amount of gastric space with the growth of the lump.

Abdominal lump- People can not find any lump at the beginning of the disease. When the cancer enlarges, the lump may be obvious in the abdomen.

Whole body symptoms

General decline in health- This is because of the consumption of the cancer.
Weakness or fatigue- The reason is also because the cancer wastes your energy.

Infections or other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell his/her doctor so that problems can be diagnosed and treated as early as possible.

Abdominal and whole body symptoms have no specificity. Other health problems may also cause similar symptoms. Go to see your doctor to verify your diseases as early as possible. Diseases with similar symptoms are listed in the following:

Who is at the highest risk?

Adenocarcinoma of the stomach is a common cancer of the digestive tract worldwide, although it is uncommon in the United States. It occurs most often in men over age 40. This form of gastric cancer is very common in Japan, Chile, and Iceland.

The rate of most types of gastric adenocarcinoma in the United States has gone down over the years. Experts think the decrease may be because people are eating less salted, cured, and smoked foods.

Studies have found a number of factors that may increase the risk of stomach cancer. In recent years, scientists point out that [Helicobacter pylori] infection is the main cause of stomach cancer. HP infection and other risk factors may act together to increase the risk even more.

Have had a Helicobacter pylori (HP) infection
Have gastric inflammation
Male
Eat lots of smoked, salted, or pickled food
Smoke cigarettes
Have a family history of stomach cancer

When to seek urgent medical care?

Call your health care provider if symptoms of gastric cancer develop. If you have the following symptoms, seek urgent medical care as soon as possible:

Severe abdominal pain- The reason a person with stomach cancer appears to have severe abdominal pain is mostly because of gastric wall perforation. This is the result of cancer invading and perforating the gastric wall. Surgical intervention needs to be done urgently.
Vomiting a lot of blood- This is the result of the cancer invading the vessels of the gastric wall. An abundant amount of blood loss may lead to shock and death.

Treatment options

It is hard to diagnose stomach cancer in its early stages. Other problems can also cause the same symptoms such as stomach discomfort and indigestion. If you have these symptoms, you should go see your doctor at your earliest convenience. Some tests your doctor will most likely do include lab tests, image tests, and endoscopy. Among these procedures, endoscopy is the main test in the diagnosis of stomach cancer.

Endoscopy and biopsy- It is the main test used to diagnose stomach cancer when people have certain risk factors or when signs and symptoms suggest this disease may be present. After you are sedated (made sleepy), an endoscope, which is a thin, flexible, lighted tube, is passed down your throat. Then the doctor can view the lining of your esophagus, stomach, and the first part of the small intestine. If abnormal areas are noted, a biopsy can be obtained through the endoscope. The tissue samples will be checked by the pathologists under a microscope to see whether cancer is present or not.
Upper gastrointestinal series- This is an x-ray test in which a person is given an injection of a medication that will temporarily slow bowel movement so that the stomach structures can be more easily seen on the x-rays. For this test, the patient drinks 16 - 20 ounces of a millkshake-like substance called barium. An x-ray method called fluoroscopy tracks how the barium moves through your esophagus, stomach, and small intestine. Pictures are taken in a variety of positions. The test usually takes around 3 hours or more.
Complete blood test- In this test, a patient with stomach cancer can be tested to see if they also have anemia.
Stool test- This test is to detect whether blood is in your digestive tract. Before the test, do not eat red meat, any blood-containing food, cantaloupe, uncooked broccoli, turnip, radish, or horseradish for 3 days. You can collect stool samples in your home. You can catch the stool on plastic wrap that is held in place by the toilet seat. Put the sample in a clean container. There can be false-positive and false-negative results. Using the right collection technique, avoiding certain drugs, and observing food restrictions can reduce errors.

Patients with stomach cancer have many treatment options. The options are surgery, radiation therapy, chemotherapy, or a combination of methods. Surgical removal of the stomach (gastrectomy) is the only curative way. Radiation therapy and chemotherapy may be beneficial treatment. Recent clinical study demonstrated that chemotherapy and radiation therapy given after surgery can improve the chances of a cure, but for patients with metastatic stomach cancer, chemotherapy and/or radiation can improve symptoms and life quality but may not cure the cancer. For some patients with gastric tract obstruction, a surgical bypass procedure may provide relief of symptoms. Before treatment starts, ask your health care team about possible side effects and how treatment may change your normal activities. Because cancer treatments often damage healthy cells and tissues, side effects are common. Side effects may not be the same for each person, and they may change from one treatment session to the next.

Where to find medical care for stomach cancer?

Directions to Hospitals Treating stomach cancer

Prevention of stomach cancer

Epidemiology data shows that the following interventions may help to reduce your risk of gastric cancer.

Give up smoking
Have a healthy, balanced diet rich in fruits and vegetables

What to expect (Outook/Prognosis)?

The prognosis varies widely. It depends on:

The area in which the lump is located
The depth to which the mass invades the stomach wall
With or without distant metastases

Possible Complications

Fluid buildup in the belly area (ascites)
Gastrointestinal bleeding
Spread of cancer to other organs or tissues
Weight loss

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/000223.htm#Calling%20your%20health%20care%20provider

Template:WH Template:WS

@@ Line 1: / Line 1: @@
-{{SI}}
+__NOTOC__
 '''For the WikiDoc page for this topic, click [[Stomach cancer|here]]'''
+{{Stomach cancer (patient information)}}
-'''Editor-in-Chief:''' Jinhui Wu
+{{CMG}}; {{AE}} Jinhui Wu, M.D.
-{{EJ}}
+==Overview==
+[[Stomach cancer]] is a common digestive tract cancer in some Asian areas such as Japan and China, but in the United States, the number of people diagnosed with the disease is declining in recent years. Stomach cancer is cancer that occurs in the stomach which is responsible for receiving and holding the food you eat and then helping to break down and digest it. Gastric cancer is another term for this disease. Adenocarcinoma is the most common type of stomach cancer. The disease begins on the surface of the gastric mucosa. Usual symptoms include upper [[abdominal pain]], [[loss of appetite]], [[weight loss]], [[nausea]], [[vomiting]], etc. If not treated, the cancer invades more deeply into the muscular layer and nearby tissues. The cancer cells can spread by breaking away from the original tumor. They enter blood vessels or lymph vessels, which branch into all the tissues of the body. The cancer cells may attach to other tissues and grow to form new tumors that may damage those tissues.
-==What is stomach cancer?==
+==What are the symptoms of stomach cancer?==
-[[Stomach cancer]] is a common digestive tract cancer in some Asia areas such as Japan and China. But in the United States, the number of people diagnosed with the disease is declining in recent years. Stomach cancer is cancer that occurs in the stomach which is responsible for receiving and holding the food you eat and then helping to break down and digest it. Gastric cancer is another term for this disease. Adenocarcinoma is the most common type of stomach cancer. The disease begins on the surface of the gastric mucosa. If not treated, the cancer invades more deeply into the muscular layer and nearby tissues. The cancer cells can spread by breaking away from the original (primary) tumor. They enter blood vessels or lymph vessels, which branch into all the tissues of the body. The cancer cells may attach to other tissues and grow to form new tumors that may damage those tissues.
+Early stomach cancer does not have any symptoms. When the cancer grows larger, people may notice one or more symptoms, such as the following:
-==How do I know if I have stomach cancer and what are the symptoms of stomach cancer?==
+'''Abdominal symptoms'''
+*[[Abdominal pain]]- At first the location may be in the upper or middle abdomen. It is typically a relatively mild pain. With the development of the cancer, abdominal pain may be persistent.
+*[[Loss of appetite]]- Some patients endure a loss of appetite without any inducement.
+*[[Nausea]] and [[vomiting]]- This is also because of the affect of the lump. It disturbs the normal digestive functions.
+*[[Vomiting blood]]- Sometimes a massive [[hemorrhage]] of the [[gastrointestinal tract]] may occur.
+*[[Vague abdominal fullness]]- This is because of the development of the lump.
+*Premature abdominal fullness after meals: This is induced by the decreased amount of gastric space with the growth of the lump.
+:*Abdominal [[lump]]- People can not find any lump at the beginning of the disease. When the cancer enlarges, the lump may be obvious in the abdomen.
-Early stomach cancer does not make any symptom. When the cancer grows larger, people may notice one or more symptoms as the following:
+'''Whole body symptoms'''
+*General decline in health- This is because of the consumption of the cancer.
-:*Abdominal symptoms
+*[[Weakness]] or [[fatigue]]- The reason is also because the cancer wastes your energy.
-:*[[Abdominal pain]]: At first the location may be upper abdominal or middle region. It is relatively mild pain or no pain may be present with life-threatening condition. With the development of the cancer, abdominal pain may be persistent.
-:*[[Loss of appetite]]: Some patients endure loss of appetite without any inducement.
-:*[[Nausea]] and [[vomiting]]: This is also because of the affect of the lump. It disturbs the normal functions of digest.
-:*[[Vomiting blood]]: This is the result of aggressing blood vessel. Sometimes massive hemorrhage of gastrointestinal tract may happen.
-:*[[Vague abdominal fullness]]: This is because of the development of the lump.
-:*Premature abdominal fullness after meals: This is induced by the decreasing of gastric space with the growth of lump.
-:*Abdominal lump: People can not find any lump at the beginning of the disease. When the cancer enlarge, the lump may be obvious in abdominal.
-:*Whole body symptoms
-:*General decline in health: This is because of the consumption of the cancer.
-:*Weakness or fatigue: The reason is also because the cancer wastes your energy.
 Infections or other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell his/her doctor so that problems can be diagnosed and treated as early as possible.
+Abdominal and whole body symptoms have no specificity. Other health problems may also cause similar symptoms. Go to see your doctor to verify your diseases as early as possible. Diseases with similar symptoms are listed in the following:
-==Who is at risk for stomach cancer?==
-Studies have found a number of factors that may increase the risk of stomach cancer. In recent years, scientists point out that [Helicobacter pylori] infection is the main cause of stomach cancer. HP infection and other risk factors may act together to increase the risk even more.
+*Acute or chronic [[gastritis]]
+*[[Angina]]
+*[[Cholelithiasis]] and [[cholecystitis]]
+*[[Depression]]
+*[[Gastric ulcer]]
+*[[Gastroesophageal reflux disease]] (GERD)
-:*Have had a Helicobacter pylori (HP) infection
+==Who is at the highest risk?==
-:*Have a [[gastric inflammation]]
+Adenocarcinoma of the stomach is a common cancer of the digestive tract worldwide, although it is uncommon in the United States. It occurs most often in men over age 40. This form of gastric cancer is very common in Japan, Chile, and Iceland.
-:*Male
-:*Eat lots of smoked, salted, or picked food
-:*Smoke cigarettes
-:*Have a family history of stomach cancer
+The rate of most types of gastric adenocarcinoma in the United States has gone down over the years. Experts think the decrease may be because people are eating less salted, cured, and smoked foods.
-==How to know you have stomach cancer?==
+Studies have found a number of factors that may increase the risk of stomach cancer. In recent years, scientists point out that [Helicobacter pylori] infection is the main cause of stomach cancer. HP infection and other risk factors may act together to increase the risk even more.
-It is hard to diagnose stomach cancer in its early stages. Other problems can also cause the same symptoms such as stomach discomfort and indigestion swallowing. So, if you have those symptoms, you had better go to see your doctor to do some tests. They include lab tests, image tests and endoscopy. Among them, the latter is the main test.
+*Have had a [[Helicobacter pylori]] (HP) infection
+*Have gastric inflammation
-:*[[Endoscopy]]: It is the main test used to diagnose stomach cancer when people have certain risk factors or when signs and symptoms suggest this disease may be present. After you are sedated (made sleepy), an endoscope which is a thin, flexible, lighted tube was passed down your throat. Then the doctor can view the lining of your esophagus, stomach, and first part of the small intestine. If abnormal areas are noted, biopsies (tissue samples) can be obtained through the endoscope. The tissue samples will be checked by the doctors of pathology department under a microscope to see whether cancer is present or not. The test lasts about 5 to 20 minutes.
+*Male
-:*[[Upper gastrointestinal (GI) series]]: This is an x-ray test that a person is given an injection of a medication that will temporarily slow bowel movement, so structures can be more easily seen on the x-rays. For this test, the patient drinks 16 - 20 ounces of a millkshake-like substance called barium. X-ray method called fluroscopy tracks how the barium moves through your esophagus, stomach, and small intestine. Pictures are taken in a variety of positions. The test usually takes around 3 hours or more.
+*Eat lots of smoked, salted, or pickled food
-:*[[Complete blood test]]: In this test, a patient with stomach cancer can be detected anemia.
+*Smoke cigarettes
-:*[[Stool test]]: This test is to detect whether blood is in your digestive track. Before the test, do not eat red meat, any blood-containing food, cantaloupe, uncooked broccoli, turnip, radish, or horseradish for 3 days. You can collect stool samples in your home. You can catch the stool on plastic wrap and held in place by the toilet seat. Then put the sample in a clean container. There can be false-positive and false-negative results. Using the right collection technique, avoiding certain drugs, and observing food restrictions can reduce errors.
+*Have a family history of stomach cancer
 ==When to seek urgent medical care?==
-Call your health care provider if symptoms of gastric cancer develop. If one emerges the following symptoms, seeking urgent medical care as soon as possible:
+Call your health care provider if symptoms of gastric cancer develop. If you have the following symptoms, seek urgent medical care as soon as possible:
-:*Severe abdominal pain: The reason of a person with stomach cancer appears severe abdominal pain is mostly because of gastric wall perforation. This is the results of cancer invade and perforation on gastric wall. A surgery will be done urgently.
+*Severe [[abdominal pain]]- The reason a person with stomach cancer appears to have severe abdominal pain is mostly because of gastric wall perforation. This is the result of cancer invading and perforating the gastric wall. Surgical intervention needs to be done urgently.
-:*Vomiting a lot of blood: This is the result of cancer invading the vessels of gastric wall. An abundant of blood loss may lead to shock and death.
+*[[Vomiting]] a lot of blood- This is the result of the cancer invading the vessels of the gastric wall. An abundant amount of blood loss may lead to [[shock]] and death.
 ==Treatment options==
+It is hard to diagnose stomach cancer in its early stages. Other problems can also cause the same symptoms such as stomach discomfort and indigestion. If you have these symptoms, you should go see your doctor at your earliest convenience. Some tests your doctor will most likely do include lab tests, image tests, and endoscopy. Among these procedures, [[endoscopy]] is the main test in the diagnosis of stomach cancer.
-Patients with stomach cancer have many treatment options. The options are surgery, [[radiation therapy]], [[chemotherapy]], or a combination of methods. Surgical removal of the stomach (gastrectomy) is the only curative way. Radiation therapy and chemotherapy may be beneficial treatment. Recent clinical study demonstrated that chemotherapy and radiation therapy given after surgery can improve the chance of a cure. But for patients with metastasis stomach cancer, chemotherapy and/or radiation can improve symptoms and life quality but may not cure the cancer. For some patients with gastric track obstruction, a surgical bypass procedure may provide relief of symptoms.
+*[[Endoscopy]] and [[biopsy]]- It is the main test used to diagnose stomach cancer when people have certain risk factors or when signs and symptoms suggest this disease may be present. After you are sedated (made sleepy), an endoscope, which is a thin, flexible, lighted tube, is passed down your throat. Then the doctor can view the lining of your [[esophagus]], [[stomach]], and the first part of the [[small intestine]]. If abnormal areas are noted, a [[biopsy]] can be obtained through the endoscope. The tissue samples will be checked by the pathologists under a microscope to see whether cancer is present or not.
-Before treatment starts, ask your health care team about possible side effects and how treatment may change your normal activities. Because cancer treatments often damage healthy cells and tissues, side effects are common. Side effects may not be the same for each person, and they may change from one treatment session to the next.
+*[[Upper gastrointestinal series]]- This is an x-ray test in which a person is given an injection of a medication that will temporarily slow bowel movement so that the stomach structures can be more easily seen on the x-rays. For this test, the patient drinks 16 - 20 ounces of a millkshake-like substance called barium. An x-ray method called fluoroscopy tracks how the barium moves through your esophagus, stomach, and small intestine. Pictures are taken in a variety of positions. The test usually takes around 3 hours or more.
+*[[Complete blood test]]- In this test, a patient with stomach cancer can be tested to see if they also have [[anemia]].
-==Diseases with similar symptoms==
+*[[Stool test]]- This test is to detect whether blood is in your digestive tract. Before the test, do not eat red meat, any blood-containing food, cantaloupe, uncooked broccoli, turnip, radish, or horseradish for 3 days. You can collect stool samples in your home. You can catch the stool on plastic wrap that is held in place by the toilet seat. Put the sample in a clean container. There can be false-positive and false-negative results. Using the right collection technique, avoiding certain drugs, and observing food restrictions can reduce errors.
-Symptoms of abdominal and whole body have no specificity. Other health problems may also cause similar symptoms. Go to see your doctor to verify your diseases as early as possible. Diseases with similar symptoms are listed in the following:
-:*Acute or chronic [[gastritis]]
+Patients with stomach cancer have many treatment options. The options are [[surgery]], [[radiation therapy]], [[chemotherapy]], or a combination of methods. Surgical removal of the stomach (gastrectomy) is the only curative way. Radiation therapy and chemotherapy may be beneficial treatment. Recent clinical study demonstrated that chemotherapy and radiation therapy given after surgery can improve the chances of a cure, but for patients with metastatic stomach cancer, chemotherapy and/or radiation can improve symptoms and life quality but may not cure the cancer. For some patients with gastric tract obstruction, a surgical bypass procedure may provide relief of symptoms.
-:*[[gastric ulcer]]
+Before treatment starts, ask your health care team about possible side effects and how treatment may change your normal activities. Because cancer treatments often damage healthy cells and tissues, side effects are common. Side effects may not be the same for each person, and they may change from one treatment session to the next.
-:*[[Gastroesophageal reflux disease (GERD)]]
-:*[[cholelithiasis]] and [[cholecystitis]]
-:*Other digestive tract tumors
-:*[[Angina]]
 ==Where to find medical care for stomach cancer?==
@@ Line 80: / Line 73: @@
 ==Prevention of stomach cancer==
-Epidemiology data show the following intervention may help to reduce your risk of gastric cancer
+Epidemiology data shows that the following interventions may help to reduce your risk of gastric cancer.
-:*Give up smoking
+*Give up smoking
-:*Eat a healthy, balanced diet rich in fruits and vegetables
+*Have a healthy, balanced diet rich in fruits and vegetables
 ==What to expect (Outook/Prognosis)?==
+The prognosis varies widely. It depends on:
+*The area in which the lump is located
+*The depth to which the mass invades the stomach wall
+*With or without distant metastases
-The prognosis varies widely. It depends on the area which the lump locates, the depth to which the mass invades the stomach wall and with or without distant [metastasize]. Clinical data show that tumors in the lower stomach are more often cured than those in the higher area -- gastric cardia or gastroesophageal junction. The deeper the tumor invades the stomach wall, the worse the prognosis is. Patients with distant metastasize have less prospective lifetime than those without metastasize.
+==Possible Complications==
+*Fluid buildup in the belly area ([[ascites]])
+*Gastrointestinal bleeding
+*Spread of cancer to other organs or tissues
+*Weight loss
-==Copyleft Sources==
+==Sources==
 http://www.nlm.nih.gov/medlineplus/ency/article/000223.htm#Calling%20your%20health%20care%20provider
-{{SIB}}
 {{WH}}
 {{WS}}
-[[Category:Patient Information]]
+[[Category:Disease]]
+[[Category:Gastroenterology]]
+[[Category:Conditions diagnosed by stool test]]
+[[Category:Patient information]]
+[[Category:Up-To-Date]]
+[[Category:Oncology]]
+[[Category:Medicine]]
+[[Category:Surgery]]