Several different types of cancer can occur in the stomach. The most common type is called adenocarcinoma, which starts from one of the common cell types found in the lining of the stomach. There are several types of adenocarcinoma. Because other types of gastric cancer occur much less frequently, this article focuses on adenocarcinoma of the stomach.
Adenocarcinoma of the stomach is a common cancer of the digestive tract worldwide, although it is relatively uncommon in the United States. It occurs most frequently in men over 40 years old. This form of gastric cancer is extremely common in Japan, Chile, and Iceland. The rate of most types of gastric adenocarcinoma in the United States has declined over the years. Experts think the decrease may be related to reduced intake of salted, cured, and smoked foods. Gastric adenocarcinoma occurs most frequently in men over age 40.
Diagnosis is often delayed because symptoms may not occur in the early stages of the disease, or because patients self-treat symptoms that may be common to other, less serious gastrointestinal disorders (bloating, gas, heartburn, and a sense of fullness).
Risk factors associated with gastric cancer are a family history of gastric cancer, Helicobacter pylori infection, blood type A, smoking, a history of pernicious anemia, a history of chronic atrophic gastritis, and a prior history of an adenomatous gastric polyp larger than 2 centimeters.
Upper GI and small bowel series (5 images)(Doctor-Reviewed information)
An upper GI and small bowel series is a set of x-rays taken to examine the esophagus, stomach, and small intestine. See also: Barium enemaReviewer: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 11/02/2008
Stool guaiac test(Doctor-Reviewed information)
The stool guaiac test finds hidden (occult) blood in the stool (bowel movement. It is the most common form of fecal occult blood test (FOBT) in use today.Reviewer: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine; George F Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Date: 12/07/2009
Cancer - resources(Doctor-Reviewed information)
The following organizations are good resources for information on cancer: American Cancer Society - www.cancer.org; Cancer Care - www.cancercare.org; National Cancer Institute - www.cancer.gov. Reviewer: Jennifer K. Mannheim, CPNP, private practice, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Date: 10/18/2008
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