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Stomach Cancer

Stomach cancer, also known as gastric cancer, is a disease that usually begins in the tissues that line the stomach and can spread to other parts of the body.

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Compassion is at the core of our care

The stomach is even more powerful and important than you might realize. Not only is the stomach responsible for breaking down food and absorbing nutrients, but it also releases hormones that let you know you're hungry and regulate other organs like the gallbladder.

Stomach cancer can throw off your body's functional harmony. But when you're under our care, our brightest minds in medicine will work together to nourish you — nutritionally, physically and emotionally.

Gastroenterologist Harmony Allison, MD examines a patient's stomach with pressure from hands in a clinic appointment at Tufts Medical Center.
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Conditions

People living with stomach cancer don't often show symptoms early on. When symptoms appear, they may be mistaken for other, less serious stomach problems like gas or an ulcer.

If you're experiencing the following symptoms, talk to your doctor or gastroenterologist as soon as you can:

Bloating
Discomfort or pain in the stomach region
Fatigue
Heartburn
Loss of appetite
Nausea
Unexplained weight loss
Vomiting
Weight loss
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Testing

While we tailor each stomach cancer treatment path to a person's unique needs, everyone's care begins with an evaluation.

Your care team will order a combination of these tests to understand your condition better:

Once we've confirmed that you're living with stomach cancer, it's important to understand if the cancer has spread and, if so, how far. This process is called staging, and it helps us design a care plan that offers you the greatest chance of success.

Staging techniques for stomach cancer include:

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Treatments

Living with stomach cancer is complex. But understanding your treatment plan doesn't need to be.

We'll chart a treatment path based on the stage of your stomach cancer, whether the cancerous cells have spread to other parts of the body, and above all, what you're comfortable with.

The most common approaches for treating stomach cancer are surgery, chemotherapy and radiation therapy.

Surgery

Surgery is the most common treatment choice for stomach cancer.

Partial (subtotal) gastrectomy

In a partial gastrectomy, only a portion of the stomach is removed. If the tumor has spread to other tissues or organs like the liver, pancreas, small intestine or spleen, we can remove the affected areas.

Total gastrectomy

A total gastrectomy removes several body parts, including:

  • The entire stomach
  • Lower part of the esophagus
  • Part of the small intestine (duodenum)
  • Surrounding lymph nodes

During the surgery, we'll connect the remaining part of the esophagus to the small intestine, allowing you to eat like you did before.

Chemotherapy

Your care team may recommend chemotherapy as a treatment on its own or in combination with other procedures. Chemotherapy drugs are usually given orally to target abnormal cells throughout the body.

Additionally, your doctor may recommend chemotherapy before surgery to shrink a tumor or, following surgery, to help destroy any remaining cancer cells.

Radiation therapy

Radiation therapy and chemotherapy are often used as a dynamic treatment duo designed to shrink and destroy tumors. High-energy radiation is directed at the tumor area to eliminate harmful cells while protecting healthy ones.

erry Fogarew, RN comforting Infusion Center patient at Tufts Medical Center.
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Robert Martell, MD, PhD (Director of the Neely Center for Clinical Cancer Research and Leader of the Experimental Therapeutics Program at Tufts Medical Center), discusses treatment options with patient during an appointment.
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