GASTRIC CANCER

GASTRIC CANCER

Cancer in the stomach and gastroesophageal junction is called gastric cancer or gastroesophageal junction cancer. The primary risk factors for this type of cancer are having a history of acid reflux disease and obesity.

Symptoms

The common symptoms of gastric cancer/stomach cancer are listed below:

 

  • Fatigue
  • Stomach pain
  • Feeling full after taking small amounts of food
  • Feeling bloated after eating
  • Severe, chronic heartburn
  • Severe, persistent indigestion
  • Unexplained, frequent nausea
  • Persistent vomiting
  • Unexplained weight loss

Diagnosis

A stomach cancer can be diagnosed by the following procedures:

Endoscopy

Your doctor will look for signs of cancer using upper endoscopy and biopsy.

Imaging tests.

CT scans, PET and barium swallow tests can help your doctor determine the stage of your stomach cancer.

Exploratory surgery

This surgery helps your doctor identify the cancer-affected areas beyond your stomach or esophagus.

Treatment

Treatment varies with the stage of your gastric cancer and other underlying health conditions.

Surgery

Surgery for gastric cancer is to remove the cancerous area completely and a portion of healthy tissue. The surgery options are listed below:

  • To remove early-stage tumors from the stomach lining
  • To remove a part of the stomach (subtotal gastrectomy)
  • To remove the stomach completely (total gastrectomy)
  • To remove lymph nodes andlook for cancer
  • To improve signs and symptoms

It is important to note that surgery carries a risk of bleeding and infection.

Radiation therapy

It is used to shrink a tumor before surgery and also to kill cancerous cells that might found after surgery. It is also used to improve symptoms of a large tumor.

Chemotherapy

Similar to radiation therapy, chemotherapy is also used before and after surgery for the same above-said purposes.

Chemotherapy can help in relieving the signs of advanced gastiric cancer.

Targeted drugs:

  • Trastuzumab
  • Ramucirumab
  • Imatinib
  • Sunitinib
  • Regorafenib

Ramucirumab and trastuzumab are approved for gastric cancer treatment.

A combination of targeted drugs and chemotherapy can be used based on the stages of the gastric cancer.

Chemotherapy and radiation therapy are often used simultaneously to kill cancerous cells or shrink a tumor’s size.

Your doctor will choose the right treatment option based on the medical history, stage of the cancer and how your body reacts to the treatments.

 

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