Treatment FAQ

how treatment for stomach cancer

by Werner Crooks Published 2 years ago Updated 2 years ago
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Stomach cancer may be treated with surgery, radiation therapy, chemotherapy, targeted therapy, or immunotherapy. Descriptions of the common types of treatments used for stomach cancer are listed below. Your care plan may also include treatment for symptoms and side effects, an important part of cancer care.

Medication

“Gastric cancer is among the leading causes of cancer-related death, worldwide,” says Tae Hyun Hwang, PhD, the Florida Department of Health cancer chair at Mayo Clinic Cancer Center in Florida. Hwang points out that most patients with gastric cancer are treated with chemotherapy, and sometimes immunotherapy, as part of their treatment plan.

Procedures

These include:

  • Garlic
  • Ginkgo
  • Echinacea
  • Ginseng
  • St. John's wort
  • Kava

Therapy

“What was unique was the Hyperthermic Intraperitoneal Chemotherapy technique used during the surgery. Normally when the cancer spreads in this manner, it impossible to operate.

Self-care

Stomach cancer may be treated with surgery, radiation therapy, chemotherapy, targeted therapy, or immunotherapy. Descriptions of the common types of treatments used for stomach cancer are listed below. Your care plan may also include treatment for symptoms and side effects, an important part of cancer care. Treatment options and recommendations ...

Nutrition

How do you cure stomach cancer?

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Is there a cure for stomach cancer?

What are my stomach cancer treatment choices?

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Can stomach cancer be treated successfully?

Gastric cancer is often in an advanced stage when it is diagnosed. At later stages, gastric cancer can be treated but rarely can be cured. Taking part in one of the clinical trials being done to improve treatment should be considered.

What is the best treatment for stomach cancer?

The main treatments for stomach cancer are:Surgery for Stomach Cancer.Chemotherapy for Stomach Cancer.Targeted Drug Therapy for Stomach Cancer.Immunotherapy for Stomach Cancer.Radiation Therapy for Stomach Cancer.

How do doctors cure stomach cancer?

Very early stage cancers can typically be treated by surgery, with either subtotal gastrectomy (removal of part of the stomach) or total gastrectomy (removal of the entire stomach). Nearby lymph nodes are removed as well. Some small stage 0 cancers can be treated by endoscopic resection.

Is stomach cancer easily treatable?

Stomach cancer is often treatable, but it can be difficult to treat. The treatment will depend on: the type and size of the stomach cancer you have.

Does stomach cancer spread fast?

Stomach cancer is a slow-growing cancer that usually develops over a year or longer.

What is the first stage of stomach cancer?

What is stage 1 stomach cancer? Stage 1 stomach cancer usually means that your cancer hasn't spread beyond the thick muscle in the stomach wall. It means your cancer hasn't spread to nearby lymph nodes if the doctors stage you using scans and tests (clinical staging).

How long can u live with stomach cancer?

Survival for all stages of stomach cancer more than 45 out of 100 people (more than 45%) will survive their cancer for 1 year or more. more than 20 out of 100 people (more than 20%) will survive their cancer for 5 years or more. more than 15 out of 100 people (more than 15%) will survive their cancer for 10 years or ...

Is stomach cancer serious?

Stomach cancer can be fatal if it is not found early. If found early, stomach cancer can be curable. However, stomach cancer is often not diagnosed until it has spread to the lymph nodes or other organs. In its advanced stages, only 1 in 5 people will survive for 5 years.

Can stomach cancer be treated with pills?

Many different chemo drugs can be used to treat stomach cancer, including: 5-FU (fluorouracil), often given along with leucovorin (folinic acid) Capecitabine. Carboplatin.

Can stomach cancer be removed?

The majority of stomach cancers found by doctors today has progressed past the early stage. Because of this, almost all patients with stomach cancer will require some type of surgery to treat the disease — either a traditional open surgery or a minimally invasive surgery. The aim of surgery is to cure the disease.

How do you feel when you have stomach cancer?

Feeling full: Many stomach cancer patients experience a sense of "fullness" in the upper abdomen after eating small meals. Heartburn: Indigestion, heartburn or symptoms similar to an ulcer may be signs of a stomach tumor. Nausea and vomiting: Some stomach cancer patients have symptoms that include nausea and vomiting.

Can you live without a stomach?

There are a number of different organs that we can live without. However, many people are surprised to learn that you can live without a stomach. However, with a little help, the body is able to adapt to bypass the stomach's main function – which is to store and break down food ready to pass it to the intestines.

What is the best treatment for stomach cancer?

Stomach cancer is often treated by a team of doctors with different specialties. Most likely, your treatment team will include: 1 A gastroenterologist: a doctor who specializes in treating diseases of the digestive system 2 A surgical oncologist: a doctor who treats cancer with surgery 3 A medical oncologist: a doctor who treats cancer with medicines such as chemotherapy, targeted therapy, and immunotherapy 4 A radiation oncologist: a doctor who treats cancer with radiation therapy

What kind of doctor treats stomach cancer?

Most likely, your treatment team will include: A gastroenterologist: a doctor who specializes in treating diseases of the digestive system. A surgical oncologist: a doctor who treats cancer with surgery. A medical oncologist: a doctor who treats cancer ...

Why is communicating with your cancer team important?

Communicating with your cancer care team is important so you understand your diagnosis, what treatment is recommended, and ways to maintain or improve your quality of life. Different types of programs and support services may be helpful, and can be an important part of your care. These might include nursing or social work services, financial aid, ...

What is the goal of cancer treatment?

One of the most important things to discuss is the goal of your treatment, including whether it might be possible to try to cure the cancer, or if treatment should be focused more on keeping the cancer under control for as long as possible and preventing or treating problems such as trouble eating, pain, or bleeding.

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

What are the services offered by the American Cancer Society?

These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, and more – to help you get through treatment.

Is treatment information given here official policy of the American Cancer Society?

The treatment information given here is not official policy of the American Cancer Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor.

How to remove tumors from stomach?

Very small cancers limited to the inside lining of the stomach may be removed by passing special tools through an endoscope. Procedures to cut away cancer from the inside lining of the stomach include endoscopic mucosal resection and endoscopic submucosal resection.

What is the stage of stomach cancer?

The stages of stomach cancer are indicated by Roman numerals that range from 0 to IV, with the lowest stages indicating that the cancer is small and affects only the inner layers of your stomach. By stage IV, the cancer is considered advanced and may have spread to other areas of the body.

What is the purpose of a total gastrectomy?

Total gastrectomy is used most often for stomach cancers that affect the body of the stomach and those that are located in the gastroesophageal junction. Removing lymph nodes to look for cancer.

What kind of doctor do you see for stomach cancer?

Once stomach cancer is diagnosed, you may be referred to a cancer specialist (oncologist) or a surgeon who specializes in operating on the digestive tract. Because appointments can be brief, and because there's often a lot of information to discuss, it's a good idea to be prepared.

What is the test used to detect stomach cancer?

The sample is sent to a lab for analysis. Imaging tests. Imaging tests used to look for stomach cancer include CT scans and a special type of X-ray exam called a barium swallow.

What is the procedure to insert a tube down your throat and into your esophagus?

Diagnosis. An endoscopy procedure involves inserting a long, flexible tube (endoscope) down your throat and into your esophagus. A tiny camera on the end of the endoscope lets your doctor examine your esophagus, stomach and the beginning of your small intestine (duodenum).

What is the procedure to remove a part of the stomach?

Removing part of the stomach (subtotal gastrectomy). During subtotal gastrectomy, the surgeon removes the part of the stomach affected by cancer and some of the healthy tissue around it. This operation may be an option if your stomach cancer is located in the part of the stomach nearest the small intestine.

What is the procedure called when you have a cancerous stomach?

When the stomach is taken out, the surgeon connects the esophagus directly to the small intestine. A reconstructive procedure called roux-en-Y creates a small pouch, which serves as a stomach, at the connection.

What is the procedure to remove a portion of the stomach?

There are several different surgical procedures called gastrectomies that involve removing a portion or all of the stomach where the cancer is present. Your treatment plan may also include chemotherapy and radiation therapy in addition to surgery.

What type of cancer is treated with chemotherapy?

Types of Chemotherapy Used to Treat Stomach Cancer 1 Neoadjuvant chemotherapy (chemotherapy before surgery): Studies have shown that patients with locally advanced stomach cancer have improved survival if they have chemotherapy before surgery, sometimes with radiation therapy. If you are receiving chemotherapy and radiation together, your care team will work with you to make sure you have nutritional support, since the treatment can cause nausea, and significant weight loss. 2 Adjuvant chemotherapy (chemotherapy after surgery): If your stomach cancer is more advanced, your doctor may recommend chemotherapy after surgery as part of the overall treatment plan.

How many lymph nodes are removed from stomach?

When it comes to treating stomach cancer with surgery, lymph node removal is an important medical standard in the United States is the extraction of 15 lymph nodes. Johns Hopkins surgeons take out more than 15 lymph nodes for more accurate staging.

Why is it important to remove lymph nodes?

Removing as many lymph nodes as possible reduces the potential for the cancer to spread. It also provides a larger search area for pathologists to review to make sure the surgeons have removed as much cancer as possible.

What is partial gastricectomy?

For cancers in the lower (distal) portion of the stomach, your doctor may choose to remove the lower two-thirds of the stomach along with the nearby fatty tissue and lymph nodes. The surgeon then attaches the remaining part of the stomach to the intestine.

How long does chemo last?

You undergo a period of treatment followed by a rest period to give your body time to recover. Each cycle typically lasts for a few weeks.

How to give systemic therapy for stomach cancer?

Common ways to give systemic therapies include an intravenous (IV) tube placed into a vein using a needle or in a pill or capsule that is swallowed (orally). The types of systemic therapies used for stomach cancer include: Chemotherapy. Targeted therapy.

What is the procedure for cancer of the stomach?

The surgeon can perform a subtotal gastrectomy or a total gastrectomy, which is the removal of all of the stomach.

What is the term for the removal of a tumor in the stomach?

This is called a subtotal or partial gastrectomy.

What is the term for the removal of a tumor and some surrounding healthy tissue during an operation?

Surgery is the removal of the tumor and some surrounding healthy tissue during an operation. The type of surgery used depends on the stage of the cancer (see Stages ).

Is surgery recommended for stage IV stomach cancer?

When the cancer is diagnosed as Stage IV, surgery is typically not recommended as the main treatment (see Metastatic stomach cancer, below). Other types of treatment will be recommended instead. Learn more about the basics of cancer surgery.

Can you recover from cancer?

If treatment does not work. Recovery from cancer is not always possible. If the cancer cannot be cured or controlled, the disease may be called advanced or terminal. This diagnosis is stressful, and for many people, advanced cancer is difficult to discuss.

Is metastatic cancer a difficult diagnosis?

For most people, a diagnosis of metastatic cancer is very stressful and difficult. You and your family are encouraged to talk about how you feel with doctors, nurses, social workers, or other members of the health care team. It may also be helpful to talk with other patients, including through a support group.

What is gastric cancer?

Key Points. Gastric cancer is a disease in which malignant (cancer) cells form in the lining of the stomach. Age, diet, and stomach disease can affect the risk of developing gastric cancer. Symptoms of gastric cancer include indigestion and stomach discomfort or pain. Tests that examine the stomach and esophagus are used to diagnose gastric ...

Where does gastric cancer start?

Gastric cancer begins in the mucosa and spreads through the outer layers as it grows. Stromal tumors of the stomach begin in supporting connective tissue and are treated differently from gastric cancer. See the PDQ summary on Gastrointestinal Stromal Tumors Treatment (Adult) for more information.

What are the layers of the stomach?

From the innermost layer to the outermost layer, the layers of the stomach wall are: mucosa, submucosa, muscle, subserosa (connective tissue), and serosa. Gastric cancer begins in the mucosa and spreads through the outer layers as it grows.

What are the factors that affect the risk of gastric cancer?

Age, diet, and stomach disease can affect the risk of developing gastric cancer. Anything that increases your risk of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer.

Where is stage IB cancer?

Stage IB: Cancer: has formed in the mucosa (innermost layer) of the stomach wall and may have spread to the submucosa (layer of tissue next to the mucosa). Cancer has spread to 1 or 2 nearby lymph nodes; or. has formed in the mucosa of the stomach wall and has spread to the muscle layer.

How does chemo work?

When chemotherapy is taken by mouth or injected into a vein or muscle , the drugs enter the bloodstream and can reach cancer cells throughout the body ( systemic chemotherapy ). When chemotherapy is placed directly into the cerebrospinal fluid, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas ( regional chemotherapy ). The way the chemotherapy is given depends on the type and stage of the cancer being treated.

Where is IP chemo carried?

In IP chemotherapy, the anticancer drugs are carried directly into the peritoneal cavity (the space that contains the abdominal organs) through a thin tube. Hyperthermic intraperitoneal chemotherapy (HIPEC) is a treatment used during surgery that is being studied for gastric cancer.

Chemotherapy for Stomach Cancer

There are several types of chemotherapy and targeted drug therapies that can be used to treat certain types of stomach cancer. Our multidisciplinary team will determine which treatments (or combinations of treatments) are best for you.

Radiation Therapy for Stomach Cancer

Radiation therapy can help treat stomach cancer in several ways, and is often used along with chemotherapy, both before and after surgery.

Surgery for Stomach Cancer

Surgery is very common during the treatment of stomach cancer. The surgical approach depends on the type of cancer, size of the tumor, and whether the cancer has spread to other organs.

What is the treatment for stomach cancer?

This is called adjuvant treatment. The goal of adjuvant chemo is to kill any areas of cancer that may have been left behind but are too small to see. This can help keep the cancer from coming back. Often, for stomach cancer, chemo is given with radiation therapy after surgery.

How does chemo help with stomach cancer?

Chemotherapy (chemo) uses anti-cancer drugs that are injected into a vein (through an IV line or central venous catheter) or given by mouth as pills. These drugs enter the bloodstream and reach all areas of the body, making this treatment useful for cancer that has spread to organs beyond where it started.

How long does chemo last?

Doctors give chemo in cycles, with each period of treatment followed by a rest period to allow the body time to recover. Each cycle typically lasts for a few weeks.

What are the side effects of chemo?

These depend on the type and dose of drugs, and the length of treatment. Side effects from chemo can include: Nausea and vomiting. Loss of appetite.

Does neoadjuvant surgery help with stomach cancer?

Neoadjuvant treatment can often shrink the tumor and possibly make surgery easier. It may also help keep the cancer from coming back and help patients live longer. For some stages of stomach cancer, neoadjuvant chemo is one of the standard treatment options. Often, chemo is then given again after surgery.

Can chemo be given before surgery?

Chemo might be used at different times to help treat stomach cancer: Chemo can be given before surgery for stomach cancer. This is known as neoadjuvant treatment. (Sometimes chemo is given along with radiation therapy, which is known as chemoradiation .) Neoadjuvant treatment can often shrink the tumor and possibly make surgery easier.

Can chemotherapy be used for cancer?

This may be especially helpful for cancers that could not be removed completely by surgery. Chemo may be given as the primary (main) treatment if the cancer has spread (metastasized) to distant parts of the body, or if it can' t be removed for some other reason .

How to treat stomach cancer?

Surgery is often part of the treatment for stomach cancer if it can be done. There are different kinds of surgery. The type that’s best for you depends on how big the cancer is and where it is in the stomach. Surgery might be done for different reasons. If the cancer is small enough, it might be done to try to remove all of it. If the cancer can’t be removed, surgery might be done to help prevent or relieve symptoms. Ask your doctor what kind of surgery you will have and what to expect.

What are the symptoms of stomach cancer?

Not feeling hungry, or losing weight without trying. Feeling full after only a small meal. Feeling sick to your stomach or vomiting. If you have symptoms that might be from stomach cancer, your doctor will ask you questions about them and do a physical exam.

What test can show if cancer has spread?

If there is cancer, this sugar shows up as “hot spots” where the cancer is found. This test can help show if the cancer has spread. Laparoscopy: If stomach cancer has been found, this exam might be done to see if surgery could be a treatment option.

What is it called when cancer cells travel to the liver?

For example, cancer cells in the stomach can sometimes travel to the liver and grow there. When cancer cells do this, it’s called metastasis. To doctors, the cancer cells in the new place look just like the ones from the stomach. Cancer is always named based on the place where it starts. So when stomach cancer spreads to ...

How does chemo work?

Chemo is the short word for chemotherapy – the use of drugs to fight cancer. The drugs may be given into a vein or taken as pills. These drugs go into the blood and spread through the body. Chemo is given in cycles or rounds. Each round of treatment is followed by a break. Most of the time, 2 or more chemo drugs are given. Treatment often lasts for many months. Chemo can be given before or after surgery. It can also be given together with radiation. Ask your doctor what to expect.

Why do you have to have surgery for cancer?

Surgery might be done for different reasons. If the cancer is small enough, it might be done to try to remove all of it. If the cancer can’t be removed, surgery might be done to help prevent or relieve symptoms. Ask your doctor what kind of surgery you will have and what to expect.

What tests can be done to check for cancer?

This lets the doctor look for the growth or spread of cancer inside the belly. Lab tests: Lab tests might be done to check your blood. They can offer details about your health status, or about the cancer itself. They can be used to find problems and guide treatment.

How to treat stomach cancer in children?

Treatment of newly diagnosed stomach cancer in children may include the following: Surgery to remove the cancer and some healthy tissue around it. Surgery to remove as much of the cancer as possible, followed by radiation therapy and chemotherapy.

What is stomach cancer?

Key Points. Stomach cancer is a disease in which malignant (cancer) cells form in the tissues of the stomach. Being infected with Helicobacter pylori increases the risk of stomach cancer. Signs and symptoms of stomach cancer include stomach pain, nausea, and vomiting. Tests that examine the stomach are used to diagnose stomach cancer.

What are the symptoms of stomach cancer?

Signs and symptoms of stomach cancer include stomach pain, nausea, and vomiting. Many patients do not have signs and symptoms until the cancer spreads. Stomach cancer may cause any of the following signs and symptoms. Check with your child’s doctor if your child has any of the following: Stomach pain.

What organ is responsible for the digestion of food?

The stomach is a J-shaped organ in the upper abdomen. It is part of the digestive system, which processes nutrients ( vitamins, minerals , carbohydrates, fats, proteins, and water) from foods that are eaten and helps pass waste material out of the body.

Why do cancer tests have to be repeated?

Some tests will be repeated in order to see how well the treatment is working. Decisions about whether to continue, change, or stop treatment may be based on the results of these tests.

What organs are affected by stromal tumors?

These organs include the mouth, pharynx (throat), esophagus, stomach, small intestine, large intestine, rectum, and anus. Stromal tumors of the stomach begin in supporting connective tissue and are treated differently from stomach cancer.

How does chemo work?

Chemotherapy is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. When chemotherapy is taken by mouth or injected into a vein or muscle, the drugs enter the bloodstream and can reach cancer cells throughout the body ( systemic chemotherapy ).

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment options include chemotherapy, radiation therapy, and surgery, either alone or in combination. The choice of treatment is based on the stage, severity, and overall health of the patient.
Medication

Chemotherapy: Drugs used to kill cancer cells.

Docetaxel . Cisplatin


Immunotherapy: Uses antibodies to identify and kill cancer cells.

Trastuzumab . Ramucirumab . Imatinib

Procedures

Esophagectomy: Removing the affected part of the gastroesophageal junction along with a little healthy tissue and nearby lymph nodes.

Endoscopic mucosal resection: Removing small cancer masses.

Subtotal gastrectomy: Removing the affected part of stomach.

Total gastrectomy: The entire stomach along with some of the surrounding tissues is removed.

Therapy

Radiation therapy:Uses high powered rays to kill the cancer cells.

Self-care

Always talk to your provider before starting anything.

  • Take your medicines as prescribed
  • Do not skip your regular visits to the doctor
  • Stay active

Nutrition

Foods to eat:

  • High protein foods: e.g. milk, eggs, cheese
  • High fiber foods: e.g. whole grains, whole wheat bread, rice
  • Bland foods: e.g. crackers, dry toast
  • Clear liquids: apple juice, tea, broth

Foods to avoid:

  • NA

Specialist to consult

Oncologist
Specializes in the diagnosis and treatment of cancer.
Gastroenterologist
Specializes in the digestive system and its disorders.

Preparing For Your Appointment

  • Tests and procedures used to diagnose stomach cancer include: 1. A tiny camera to see inside your stomach (upper endoscopy).A thin tube containing a tiny camera is passed down your throat and into your stomach. Your doctor can use it to look for signs of cancer. 2. Removing a sample of tissue for testing (biopsy).If any suspicious areas are found d...
See more on mayoclinic.org

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