Stomach Cancer

Stomach Cancer (Gastric Carcinoma): Radiotherapy

Radiotherapy (radiation therapy) can reduce tumor mass preoperatively, before surgery, as part of neoadjuvant (preparatory) therapy for gastric cancer. Radiochemotherapy (RCTX; a combination of chemotherapy and radiatio (radiation therapy)) may be indicated (recommended) after surgery under the following conditions: When neoadjuvant or periorperative chemotherapy has not been given and when: When a patient has functional … Stomach Cancer (Gastric Carcinoma): Radiotherapy

Stomach Cancer (Gastric Carcinoma): Medical History

Medical history (history of illness) represents an important component in the diagnosis of gastric cancer (stomach cancer). Family history Is there a history of frequent gastrointestinal diseases or tumors in your family? Social history What is your profession? Are they exposed to harmful agents in your profession? Current medical history/systemic medical history (somatic and psychological … Stomach Cancer (Gastric Carcinoma): Medical History

Stomach Cancer (Gastric Carcinoma): Or something else? Differential Diagnosis

Liver, gallbladder, and biliary tract-pancreas (pancreas) (K70-K77; K80-K87). Pancreatitis (inflammation of the pancreas). Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93). Chronic gastritis (inflammation of the gastric mucosa). Functional dyspepsia (irritable stomach syndrome). Gastroparesis (gastric paralysis) Gastroesophageal reflux disease (synonyms: GERD, gastroesophageal reflux disease; gastroesophageal reflux disease (GERD); gastroesophageal reflux disease (reflux disease); gastroesophageal reflux; … Stomach Cancer (Gastric Carcinoma): Or something else? Differential Diagnosis

Stomach Cancer (Gastric Carcinoma): Radiotherapy (Irradiation)

Radiotherapy (radiation therapy) can reduce tumor mass preoperatively, before surgery, as part of neoadjuvant (preparatory) therapy for gastric cancer. Radiochemotherapy (RCTX; a combination of chemotherapy and radiatio (radiation therapy)) may be indicated (recommended) after surgery under the following conditions: When neoadjuvant or periorperative chemotherapy has not been given and when: When a patient has functional … Stomach Cancer (Gastric Carcinoma): Radiotherapy (Irradiation)

Stomach Cancer (Gastric Carcinoma): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate gastric cancer (stomach cancer). Most of the time, stomach cancer does not cause many symptoms, but the following may still be noticeable: Belching* Anorexia/appetence (loss of appetite) Pallor and lassitude (due tounclear anemia / anemia). Weight loss, unclear (weight loss)* * . Weakness in performance* * Gastric bleeding … Stomach Cancer (Gastric Carcinoma): Symptoms, Complaints, Signs

Stomach Cancer (Gastric Carcinoma): Complications

The following are the most important diseases or complications that can be caused by gastric carcinoma (stomach cancer): Blood, blood-forming organs – Immune system (D50-D90). Iron deficiency anemia (anemia due to iron deficiency). Pernicious anemia – most common subtype of vitamin B12 deficiency anemia. In this form, intrinsic factor is not formed due to gastric … Stomach Cancer (Gastric Carcinoma): Complications

Stomach Cancer (Gastric Carcinoma): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye) [In advanced stages, the following symptom may occur: Icterus (jaundice)] Abdomen (abdomen) Shape of the abdomen? Skin color? Skin … Stomach Cancer (Gastric Carcinoma): Examination

Stomach Cancer (Gastric Carcinoma): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Renal parameters – urea, creatinine, if necessary cystatin C or creatinine clearance. Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT). Tumor markers: CA 72-4 (initial … Stomach Cancer (Gastric Carcinoma): Test and Diagnosis

Stomach Cancer (Gastric Carcinoma): Drug Therapy

Therapeutic targets Cure or improvement of prognosis If necessary, also improvement of symptoms, reduction of tumor mass, palliative (palliative treatment). Therapy recommendations The most important therapeutic procedure is surgery with the aim of complete tumor removal. Chemotherapy [S3 guideline] Perioperative chemotherapy may be given for localized adenocarcinoma of the stomach or esophagogastric (esophagus-gastric) junction with … Stomach Cancer (Gastric Carcinoma): Drug Therapy

Stomach Cancer (Gastric Carcinoma): Diagnostic Tests

Mandatory medical device diagnostics. Esophago-gastro-duodenoscopy (EGD; endoscopy of esophagus, stomach, and duodenum) by high-resolution videoendoscopy with multiple biopsies (specimen collections; from all suspicious lesions; in Barrett’s esophagus, an additional 4 quadrant biopsies) [primary diagnosis: initial diagnostic tool and gold standard for early detection, histologic confirmation, and exclusion of gastric cancer]indications [according to S3 guideline]: Dysphagia … Stomach Cancer (Gastric Carcinoma): Diagnostic Tests