More than 7 in 100,000 people are diagnosed with stomach cancer each year, while 3 in 100,000 die from the disease. About 0.8% of all men and women will be diagnosed with stomach cancer at some point in their life. As of 2017, 116,525 in the United States were living with stomach cancer.
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In 2020, the National Cancer Institute estimates 27,600 new cases of stomach cancer will be diagnosed, which is roughly 1.5% of all new cancer cases. The NCI also projects 11,010 deaths from stomach cancer in 2020, which is 1.8% of all cancer deaths.
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Because stomach cancer affects men and women differently, and can be difficult to diagnose, it is crucial to understand its unique traits and the illnesses it can mimic. This article covers the signs and symptoms of stomach cancer, the different disease stages, primary causes, warning signs and how to manage it.
What is stomach cancer?
Stomach cancer, also called gastric cancer, occurs when normal healthy cells are replaced by growing cancer cells within the stomach lining. The stomach is located directly below the esophagus, the tube that food moves through to get to the intestines after swallowing. The stomach is one part of the digestive tract that digests food and moves nutrients through the gut to the small intestine.
Since this type of cancer is typically slow-growing, it can take years to develop. Stomach cancer often starts when cells that were once healthy begin growing out of control in the mucosa of the stomach lining. This collection of cancerous cells is known as a tumor, and over time these cells spread into other layers of the stomach.
What are the different types of stomach cancer?
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Stomach cancer, also known as gastric cancer, is the name for a category of cancer. There are many different types of stomach cancer:
- Adenocarcinoma: Adenocarcinoma is the most common type of gastric cancer, comprising more than 90% of all stomach cancers. Carcinoma that occurs in the innermost lining of the stomach.
- Lymphoma: Cancer of the immune system that accounts for 4% of all stomach cancer, which is not from the mucosa of the stomach lining. It is broken up into primary and secondary lymphoma of the stomach.
- Primary lymphoma involves the stomach and can eventually affect the lymph nodes, bone marrow and other parts of the body.
- Secondary lymphoma initially involves other parts of the body, like circulating blood, lymph nodes, bone marrow and other organs. Secondarily, cancer spreads to the stomach.
- Gastrointestinal Stroma Tumor: A kind of soft tissue sarcoma that can grow in the stomach’s connective tissue.
- Neuroendocrine cancer: Also known as carcinoid tumors, neuroendocrine cancer originates from cells in the intestine’s endocrine and nervous systems.
What are the different stages of stomach cancer?
Stomach cancer is staged based on the severity of cancerous cell growth and spread. Adenocarcinoma is initially evaluated by the tumor, node metastasis (TNM) system.
- T: How deeply has the tumor spread into the stomach wall?
- N: Has the stomach cancer spread to the lymph nodes?
- M: Has the stomach cancer spread to other parts of the body?
After the TNM staging information has been taken into account, the cancer is staged at 0 or 1 to 4. Tumor classifications for staging are as follows:
- Stage 0 is early cancer on the surface of the stomach lining.
- Stage 1A or 1B
- Stage 2A or 2B, commonly with deeper stomach wall involved
- Stage 3A or 3B or 3C, commonly with lymph node(s) involvement
- Stage 4 means cancer has metastasized elsewhere in the body outside of the stomach.
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