Treatment FAQ

what is treatment for stomach cancer

by Dr. Talon Satterfield MD 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

  • Take care of the grocery shopping, or order groceries online and have them delivered.
  • Help keep their household running. ...
  • Bring a cup of tea or coffee and stop by for a visit. ...
  • Give the primary caregiver a break. ...
  • Drive the patient to appointments. ...
  • Take notes during appointments or when the doctor or nurse stops by in the hospital. ...

More items...

Procedures

“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.

Therapy

These include:

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

Self-care

“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.

Nutrition

What can I do to help someone with stomach cancer?

How do you cure stomach cancer?

What herbs are good for stomach cancer?

Is there a cure for stomach cancer?

See more

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Is stomach cancer curable?

Many cases of stomach cancer can't be completely cured, but it's still possible to relieve symptoms and improve quality of life using chemotherapy and in some cases radiotherapy and surgery. If operable, surgery can cure stomach cancer as long as all of the cancerous tissue can be removed.

What is the typical treatment for stomach cancer?

Surgery. Surgery is a common treatment of all stages of gastric cancer. The following types of surgery may be used: Subtotal gastrectomy: Removal of the part of the stomach that contains cancer, nearby lymph nodes, and parts of other tissues and organs near the tumor.

What is the survival rate for stomach cancer?

If the cancer is diagnosed and treated before it has spread outside the stomach, the 5-year survival rate is 70%. If the cancer has spread to surrounding tissues or organs and/or the regional lymph nodes, the 5-year survival rate is 32%.

Does stomach cancer spread fast?

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

Can chemo get rid of stomach cancer?

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

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).

Is stomach cancer usually terminal?

Is stomach cancer fatal? 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.

Is stomach cancer usually fatal?

People in the early stages of stomach cancer have a much better prognosis than those at a later stage. The 5-year survival rate for stomach cancer may be as high as 70% (for little spread) or as low as 6% (for advanced spread).

What is the main cause of stomach cancer?

Bacteria. A common bacterium called Helicobacter pylori, also called H. pylori, causes stomach inflammation and ulcers. It is also considered one of the main causes of stomach cancer.

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 stomach cancer be seen on CT scan?

Computed tomography (CT or CAT) scan CT scans can show the stomach fairly clearly and often can confirm the location of a cancer. CT scans can also show other parts of the body to which stomach cancer might have spread, such as the liver and nearby lymph nodes.

At what stage of stomach cancer is chemotherapy used?

You're likely to have chemotherapy before and after surgery unless you have a very early stage cancer (stage 1A). This is called perioperative chemotherapy. It aims to: reduce the size of the cancer so it's easier for your surgeon to remove.

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 ...

What is complementary medicine?

Complementary methods refer to treatments that are used along with your regular medical care. Alternative treatments are used instead of a doctor’s medical treatment.

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.

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 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 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 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 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 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.

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 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.

How to diagnose stomach cancer?

A biopsy is the only sure way to diagnose cancer. Endoscopy and biopsy are the best methods of identifying stomach cancer.

What is the best test for stomach cancer?

CT scan. A computed tomography (CT) scan can give your doctor detailed pictures of structures inside of the body using X-rays. This test is used after a stomach cancer is diagnosed in order to determine the stage of the cancer. To evaluate whether the tumor has spread to the lymph nodes or other organs, the chest, abdomen, and pelvis are scanned.

How long does stomach cancer last?

Unfortunately, by the time most cases of stomach cancer are diagnosed, the cancer has spread to local lymph nodes or other organs. Only about one in five patients diagnosed with stomach cancer that has spread to other organs or lymph nodes will survive five years. Next In Stomach Cancer. What Is a Gastrectomy?

What is the best way to determine if a tumor has spread to lymph nodes?

To evaluate whether the tumor has spread to the lymph nodes or other organs, the chest, abdomen, and pelvis are scanned. The CT scan can also detect fluid in the abdomen (ascites) as well as abdominal and pelvic nodules. Endoscopic ultrasound. This test can determine the depth of invasion of the tumor and evaluate lymph nodes around the cancer.

How do you know if you have cancer in your stomach?

Your doctor may identify signs of stomach cancer, such as enlarged lymph nodes or liver, increased fluid in the abdomen (ascites), or bumps (nodules) in or under the skin of the abdomen during a physical exam. These signs typically indicate an advanced cancer. If you complain of vague symptoms such as persistent indigestion, pain, ...

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

Surgery, called gastrectomy, removes all or part of the stomach, as well as some of the tissue surrounding the stomach. Lymph nodes near the stomach are also removed and biopsied to check for cancer cells. For stage zero through stage 3 stomach cancer, surgery provides the only real chance for a cure at this time.

What is the treatment for cancer before surgery?

Prior to surgery, chemotherapy -- with or without radiation -- is sometimes used to shrink the tumor or to make an inoperable tumor suitable for surgery (known as neo-adjuvant therapy). Radiation therapy is the use of ionizing X-rays to kill cancer cells and shrink tumors.

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 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 are the abnormal cells in the stomach?

In stage 0, abnormal cells are found in the mucosa (innermost layer) of the stomach wall. These abnormal cells may become cancer and spread into nearby normal tissue. Stage 0 is also called carcinoma in situ.

Cancer May Spread From Where It Began To Other Parts Of The Body

When cancer spreads to another part of the body, it is called metastasis. Cancer cells break away from where they began and travel through the lymph system or blood.

Treatment For Stomach Cancer

The main treatments for stomach cancer are surgery and chemotherapy. Sometimes, radiotherapy or targeted therapy treatments are used. The treatments can be used alone or in combination with each other.

What Is Stage 4 Stomach Cancer

Stomach cancer is cancer that starts in the stomach. Its staged according to how far it has spread at the time of diagnosis.

What Happens If Youve Been Told Your Cancer Cannot Be Cured

If you have advanced stomach cancer, it might be very hard to treat. It may not be possible to cure the cancer.

Living With Advanced Cancer

Advanced cancer usually means cancer that is unlikely to be cured. Some people can live for many months or years with advanced cancer. During this time palliative care services can help.

Surgery To Help Control The Symptoms Of Stomach Cancer

You may need surgery to relieve a blockage in the stomach. This helps food pass through your stomach more easily.

Treatment Of Gastric Cancer

Correspondence to: Michele Orditura, MD, PhD, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale F. Magrassi-A. Lanzara, Seconda Università degli Studi di Napoli, c/o II Policlinico, via S. Pansini 5, 80131 Naples, Italy.

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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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