Stomach cancer
Table of contents |
epidemiology
the Magenkarzinom belongs to the few kinds of cancer, whose frequency in western countries decreased in the last years. In some countries the Inzidenz is clearly higher, which refers to the meaning of the nourishing habits (e.g. in Japan twice as highly as in Germany).
In the year 2000 in Germany 20,000 cases were diagnosed, thus stand the Magenkarzinom in the frequency in sixth place.
factors of risk
to the factors of risk of stomach cancer count on the one hand the eating habits; above all excessive consumption of alcohol as well as the frequent consumption of smoked and strongly gesalzenen meals (nitrathaltige meals, thereby emergence of carcinogenic ones in the stomach). Also smoking belongs to the factors of risk of stomach cancer. Likewise certain forms of chronic gastritis can (Gastritis) or ulcers (joke user offense) the risk of an illness increase. As far important factor of risk the infection with Helicobacter is regarded pylori. With certain forms of stomach cancer a hereditary preloading is a factor of risk, humans with group of bloods of A has a increased illness risk.
symptoms
stomach cancer caused in the early stage frequently and one finds also frequently only coincidental to no complaints. The following symptoms can refer to stomach cancer:
- Loss of appetite/tiredness/listlessness
- nausea
- pressure feeling in the Oberbauch
- upper belly pain
- strong dislike against meat or other meals
- frequent blowing
- black colored chair during emptying of intestine (Meläna), blood vomiting (Hämatemesis)
investigation/diagnosis
The ultrasonic investigation (Sonographie) can already give referring to a tumor illness. The safest method to the proof and/or. Exclusion of a Karzinoms is the Gastroskopie (gastroscopy) with Gewebsentnahme and investigation of the taken fabric sample on cancer cells. X-ray examinations with contrast means are today increasingly left, since the Gastroskopie obtains safer results. For the estimate of the expansion tumor and possible Metastasen (Staging) computer tomography or March is used. Tumor markers such as CEA give referring to the spreading and for process control are regularly intended. Advanced Magenkarzinome metastasieren frequently over the Lymphbahnen into a lymph node over the left Schlüsselbein, the so-called Virchow gland, which increases then and appears hard.
therapy
the most important treatment measure is as complete a distance of the tumor as possible by an operation (partial or complete stomach distance). In some cases a chemotherapy is meaningful. Additionally immune therapy (activation of the body-own defense forces against the tumor) is used.
Vorbeugung
the nourishing profile many factors of risk takes, on the other hand also the protektive effect of fruit and vegetables admits is, should unhealthy eating habits off there in principle be changed over. Above all frequent meat consumption and gepökelte food should be reduced. Curing of smoking is beneficial in principle for the health.
With proven infestation with Helicobacter pylori a Eradikation ( medicamentous removal) is to be aimed at. If stomach cancer should be common in the family or be present chronic gastritis, a regular gastroscopy is recommended.
With German cancer research center assumes one the registered decrease (between 1977 and 1997 around approximately a quarter) of the stomach cancer illnesses is to due to the massive spreading of refrigerators and the all-season supply of fresh fruit and vegetable and an associated decrease of the preservation by means of Pökeln and smoking.
prognosis
is usually only diagnosed there stomach cancer in stages progressed far (70% of all cases are recognized with tumor stages III and IV), is altogether seen unfortunately relatively high the mortality rate. In the case of early recognition (stage I) the 5-Jahresüberlebensrate 65%-80% amounts to, with advanced cancer stages sinks it dramatically [1]. If one should survive the first five years, exists 50 - 90 per cent chance the cancer to defeat.
information for member concerned
is to be informed importantly as a member about the topic. After the distance of the stomach a relatively radical life conversion takes place with concerning. So the cancer patient cannot take up no more in the used measure of food to itself, he must e.g. more frequently take meals to itself. As a member one should support it thereby, its meals as the physician it used up to take. Besides the person concerned must receive certain nutrients very frequently to the physician, since its stomach is not any more able. In addition a depression with most stomach cancer-gotten sick , which becomes apparent very frequently by neglect of the meals, comes. One should possess here very much patience with the concerning and talk openly with one another also about its problems and fears. Not to neglect is that the illness loads not only the concerning, but also its closer surrounding field. This load is not to be borne in the long term for most, therefore it is not despicably if one from time to time tracing gönnt.
Web on the left of
- www.krebsinformation.de - detailed ones and understandable information for patients and member (cancer news service)
- Magenkarzinom: medical information for physicians and interested laymen
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