Stomach Cancer

Question 1

True or false: Stomach and bladder cancer are all about what you ingest.

Answer 1

True

Question 2

What is the yearly incidence of stomach cancer?

Answer 2

25,000

Question 3

What is the yearly death rate of stomach cancer?

Answer 3

11,000

Question 4

What percentage of cases are localized cancer? What is their prognosis?

Answer 4

96%; poor prognosis (b/c stomach is so important)

Question 5

What are the risk factors in terms of age and race?

Answer 5

1) Age (60% over age 65)

2) Race (Hispanic > Black > Asian > White)

Question 6

What are the major risk factors?

Answer 6

1) Smoking
2) Diet
3) Obesity
4) H. Pylori

Question 7

What are the symptoms?

Answer 7

1) Poor appetite
2) Abdominal pain
3) Weight loss
4) Sense of fullness
5) Vomiting with or without blood
6) Swelling

Question 8

How is it detected?

Answer 8

Upper endoscopy

Question 9

Treatment?

Answer 9

Surgery that removes huge sections of the stomach.

Question 10

Stage with localized tumor and 1 or 2 nodes near stomach.

Answer 10

Stage 1

Question 11

Prognosis of stage 1?

Answer 11

65% survival

Question 12

Stage with tumor outside of stomach layers or 3-6 lymph nodes.

Answer 12

Stage 2

Question 13

What is the prognosis of stage 2?

Answer 13

40% survival

Question 14

Stage with cancer outside the stomach and lymph nodes are positive.

Answer 14

Stage 3

Question 15

Prognosis of stage 3?

Answer 15

15% survival

Question 16

Stage with metastasis.

Answer 16

Stage 4

Question 17

Prognosis of stage 4?

Answer 17

5% survival