Can stomach cancer be cured?

Written by Liu Liang
Oncology
Updated on September 25, 2024
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Whether gastric cancer can be cured depends on the stage of the cancer, as well as the patient's own physical condition. For example, early-stage gastric cancer patients, who are diagnosed as early-stage through examinations such as endoscopic ultrasonography and enhanced CT of the chest and abdomen, and assessed by surgeons as suitable for curative surgery, are primarily treated with curative surgery. The prognosis for these early-stage gastric cancer patients is generally good, with a relatively high five-year survival rate. Post-operation, based on the pathological findings, it is decided whether postoperative adjuvant radiotherapy and chemotherapy are necessary. There is hope for curing patients in these early stages through these treatment methods. However, if a patient is found to have advanced-stage gastric cancer, for example with metastases to distant organs like the liver and lungs, the cancer is not completely curable. The purpose of treatment in such cases is to alleviate the patient's pain and extend their survival, but it can’t achieve a curative effect.

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Oncology
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How is gastric cancer treated?

The treatment methods for gastric cancer include surgery, chemotherapy, and radiotherapy, as well as broad-spectrum targeted therapies against angiogenesis, such as apatinib. Immunotherapy is also an option. However, the specific treatment plan is based on a comprehensive consideration of various factors, including the stage of the cancer and the general condition of the patient. The principle is that for early-stage gastric cancer patients, if the surgeon assesses that surgery is feasible, then radical surgical treatment is primarily used. For advanced-stage patients who are in generally good condition, chemotherapy is the main treatment, combined with a consideration of whether to undergo radiotherapy. For those in very advanced stages, who may not be in good health or those who have had chemotherapy with poor results, anti-angiogenic drugs like apatinib can be chosen as a subsequent treatment.

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Oncology
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How is stomach cancer treated?

The treatment for gastric cancer now includes surgery, radiotherapy, chemotherapy, targeted therapy, and immunotherapy, among others. The specific treatment plan is formulated based on various factors such as the staging of the cancer, the patient's overall condition, and the presence of any underlying diseases, which are all taken into consideration before deciding on a treatment plan. For patients in the early stages who are generally in good condition, surgical resection can be evaluated and is primarily curative. Post-operative treatment decisions, such as whether to pursue adjuvant radiotherapy or chemotherapy, depend on the pathology results and the presence of high-risk factors for recurrence. For patients in advanced stages who are found to have distant metastases upon diagnosis, treatment is primarily chemotherapy. Additionally, there are broad-spectrum targeted therapies against angiogenesis, such as apatinib, which are suitable for patients with advanced gastric cancer or those who do not respond well to chemotherapy, serving as a secondary or tertiary line of treatment. These are some of the treatment methods for gastric cancer. It is crucial that the use of any medication is conducted under the guidance of a doctor.

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Oncology
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Early manifestations of gastric cancer

The early signs of gastric cancer may include nausea, vomiting, or mild acid reflux, which are symptoms similar to those of gastritis, stomach ulcers, or duodenal ulcers. Therefore, initially, these patients may not take their condition seriously, assuming they might just have gastritis or peptic ulcers. These are some of the early manifestations of gastric cancer, and some patients may also experience discomfort and a feeling of fullness after eating.

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How is gastric cancer caused?

The causes of gastric cancer are not yet clearly understood. However, its occurrence is associated with poor dietary habits, such as irregular eating—sometimes skipping a meal, sometimes overeating, not having meals on time—and consuming pickled food, barbecued junk food, and other unhealthy dietary practices. Additionally, smoking, alcohol consumption, infection with Helicobacter pylori, chronic gastric diseases such as atrophic gastritis, and genetic factors are all somewhat related to the development of this condition.

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Oncology
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What are the symptoms of stomach cancer?

Symptoms of gastric cancer, especially in the early stages, generally include nausea, vomiting, loss of appetite, discomfort or bloating in the upper abdomen, pain, and acid reflux as some of the gastrointestinal symptoms, as well as vomiting blood and black stools. Black stools are tar-like stools, and their occurrence indicates bleeding in the upper gastrointestinal tract. Additionally, if the tumor causes pyloric obstruction, the patient will vomit food eaten the night before, be completely unable to eat, and experience a significant weight loss. In even more advanced stages, gastric cancer patients may develop a cachectic state.