[GASTRIC CANCER IN THE PRACTICE OF FAMILY PHYSICIAN].

Q4 Medicine
Acta Medica Croatica Pub Date : 2015-11-01
K Kranjčević
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引用次数: 0

Abstract

Gastric cancer is the second most common cause of cancer-related death in the world. Gastric cancer mostly affects older people. The incidence increases with age and more than 75% of people are older than 50 years. Due to the relatively late detection, long-term survival is poor, except for patients with localized disease and it remains difficult to cure. There are many known risk factors for stomach cancer, but it is not known exactly how these factors cause cells of the stomach lining to become cancerous. But it is known that a certain kind of diet can contribute to its development such as a diet high in salty and smoked foods and low in fruits and vegetables. Long-term infection with H. pylori increases the risk of gastric cancer and the World Health Organization declared H. pylori as carcinogenic for some types of the gastric cancers. About 90% to 95% of cancers of the stomach are adenocarcinomas, the others are Lymphomas, Gastrointestinal stromal tumor (GIST) and MALT lymphoma. Early gastric cancer has no associated symptoms; however, some patients complain of indigestion, nausea or vomiting, dysphagia or postprandial fullness. When there is a suspicion of the gastric it is necessary to do an endoscopy with multiple biopsies. Many treatments may be used such as surgery, radiation therapy, chemotherapy, targeted drugs or a combination of these methods, and the choice depends on the stage of the disease and the condition of the patient. Family physician should determine all patients who are at increased risk and regularly control them.

【家庭医生在胃癌实践中的应用】。
胃癌是全球癌症相关死亡的第二大常见原因。胃癌主要影响老年人。发病率随着年龄的增长而增加,超过75%的人年龄在50岁以上。由于发现较晚,长期生存率较差,除了局部疾病患者,仍然难以治愈。有许多已知的胃癌风险因素,但尚不清楚这些因素是如何导致胃内膜细胞癌变的。但众所周知,某种饮食可以促进其发展,如高盐和烟熏食品的饮食和低水果和蔬菜。长期感染幽门螺杆菌会增加患胃癌的风险,世界卫生组织宣布幽门螺杆菌对某些类型的胃癌具有致癌性。约90%至95%的胃癌为腺癌,其余为淋巴瘤、胃肠道间质瘤(GIST)和MALT淋巴瘤。早期胃癌无相关症状;然而,一些患者主诉消化不良、恶心或呕吐、吞咽困难或餐后饱腹。当怀疑有胃病时,有必要做内窥镜和多次活检。可能会使用许多治疗方法,如手术、放射治疗、化疗、靶向药物或这些方法的组合,选择取决于疾病的阶段和患者的状况。家庭医生应确定所有风险增加的患者并定期控制他们。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta Medica Croatica
Acta Medica Croatica Medicine-Medicine (all)
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期刊介绍: ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.
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