What is stomach cancer?
Stomach cancer, also known as gastric cancer, usually begins in the lining in the upper part of the stomach.
Stomach cancer is a relatively common cancer in Australia, however the number of people diagnosed has been falling. It is rare in people under 50 years of age and affects more men than women.
In 2016, 2197 new cases of stomach cancer were diagnosed in Australia. In 2019 it was estimated that the risk of being diagnosed with stomach cancer by age 85 was 1 in 65 for men compared to 1 in 144 for women.
In 2018, there were 1138 deaths due to stomach cancer in Australia.
The five year survival rate for stomach cancer is 31%.
Stomach cancer symptoms
a painful or burning sensation in the abdomen
heartburn or indigestion (dyspepsia)
a sense of fullness, even after a small meal
nausea and/or vomiting
loss of appetite and/or weight loss
swelling of the abdomen
unexplained tiredness or weakness
blood in vomit
Causes of stomach cancer
Some factors that can increase your risk of stomach cancer include:
being aged over 60
infection with the bacteria Helicobacter pylori
a diet high in smoked, pickled and salted foods and low in fresh fruit and vegetables
being overweight or obese
pernicious anaemia (low red blood cells)
chronic gastritis (inflammation of the stomach)
a family history of stomach cancer
partial gastrectomy for ulcer disease (after about 20 years)
inheriting a genetic change that causes the bowel disorders familial adenomatous polyposis or hereditary nonpolyposis colorectal cancer
Diagnosis of stomach cancer
If your doctor thinks you may have stomach cancer, you will be referred for further tests. The main test is an endoscopy (also known as a gastroscopy). The doctor will use a thin, flexible tube with a camera (endoscope), which passes into the mouth, down the throat and oesophagus into the stomach in order to look at the digestive tract.
If any suspicious-looking areas are detected, a small amount of tissue from the stomach lining may be removed (biopsy) and examined under a microscope. Less commonly used is an endoscopic ultrasound where the endoscope has an ultrasound probe at the end.
Treatment for stomach cancer
After stomach cancer is diagnosed, one or more of the following tests are used to determine the extent of the cancer (its stage):
- CT scan
- ultrasound scan
- PET scan
- bone scan.
In some cases of stomach cancer, your medical team may talk to you about palliative care. Palliative care aims to improve your quality of life by alleviating symptoms of cancer.
As well as slowing the spread of stomach cancer, palliative treatment can relieve pain and help manage other symptoms. Treatment may include radiotherapy, chemotherapy or other drug therapies.
Treatment TeamDepending on your treatment, your treatment team may consist of a number of different health professionals, such as:
- GP (General Practitioner)- looks after your general health and works with your specialiststo coordinate treatment.
- Gastroenterologist- specialises in diseases of the digestive system.
- Upper gastrointestinal surgeon- specialises in surgery to treat diseases of the upper digestive system.
- Radiation oncologist- prescribes and coordinates radiation therapy treatment.
- Cancer nurses- assist with treatment and provide information and support throughout your treatment.
- Other allied health professionals- such as social workers, pharmacists and counsellors.
Screening for stomach cancer
There is currently no screening for stomach cancer available in Australia.
Preventing stomach cancer
There are some steps you can take to minimise the risk of stomach cancer including:
Prognosis for stomach cancer
An individual's prognosis depends on the type and stage of cancer as well as their age and general health at the time of diagnosis. Treatment is most effective if the cancer is found in its early stages; stomach cancer can be cured if the cancer is removed before it spreads. However, because of the absence or vagueness of symptoms in the early stages, stomach cancers are often not discovered until they are more advanced.
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