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Stomach Cancer in Young Adults

By Aliya Anchan| Last Updated at: 27th Apr '24| 16 Min Read

Overview

Did you know that stomach cancer is becoming more common among young adults? 

It's not just older people who get it anymore. Nowadays, more than 30% of cases are young adults. If you often have stomach pains, are losing weight without trying, or feel full quickly after eating a little, it's important to see a doctor. This cancer is now more frequent in people in their 30s, 40s, and 50s, so everyone should be aware.

Have you ever wondered exactly what stomach cancer is?

let's read ahead!

Stomach Cancer

Stomach cancer, or gastric cancer, involves the growth of cancerous cells within the lining of the stomach. These cells can form tumors, disrupt normal stomach function, and spread to other body parts if untreated.

To clarify how stomach cancer affects different age groups, here's a straightforward comparison between younger and older adults:

Aspect

Young Adults vs. Older Adults

Progression

Progression

  • Faster and more aggressive in young adults;
    slower in older adults.

Symptoms

Symptoms

  • It may be overlooked in young adults; 
    more likely to be recognized in older adults.

Health at Diagnosis

Health at Diagnosis

  • Better  health in young adults can influence treatment options; 
    older adults often have other health complications.

Response to Treatment

Response to Treatment

  • Young adults might respond better due to fewer health issues; complications from other conditions can affect older adults’ treatment.

Risk Factors

Risk Factors

  • Genetic factors are more pronounced in young adults; 
    lifestyle and environmental factors are more common in older adults.

Wondering what leads to stomach cancer in young adults?

Causes of Stomach Cancer in Young Adults

Stomach Cancer in Young Adults

The causes vary, including genetics, lifestyle habits, and environmental factors. 

  1. Genetic Factors: Sometimes, the risk of stomach cancer is passed down in families. If stomach cancer runs in your family, it’s good to talk to your doctor about screening tests.
  2. Lifestyle Choices: Smoking cigarettes, drinking a lot of alcohol, and eating a lot of salty or processed foods can increase your risk of developing stomach cancer. Eating plenty of fruits and vegetables might help lower your risk.
  3. Environmental Factors: Being around certain chemicals or pollutants at work, like asbestos or heavy metals, might also increase your risk.
  4. Role of Diet: Eating lots of smoked, salted, or pickled foods can raise your risk, while fresh fruits and veggies can be protective.
  5. Infections: A common stomach infection called Helicobacter pylori, or H. pylori, can lead to cancer if not treated. 

Do you know that stomach cancer is becoming more common among young adults? Studies predict a 30% increase in cases by 2030 for people under 50. This happens due to factors like family history, lifestyle choices (like smoking or diet), and exposure to certain chemicals.

Make sure to keep an eye on your lifestyle and make changes to lower your chances of getting stomach cancer. 

Are you paying attention to your body's signals?

Common Symptoms of Stomach Cancer

Common Symptoms

Sometimes, our bodies give us warning signs that something might be wrong. 

Here are some symptoms of stomach cancer that young adults should keep an eye on:

  • Persistent Stomach Pain: If you have ongoing pain in your stomach that doesn’t go away, it’s a sign to be concerned.
  • Unexplained Weight Loss: Losing a lot of weight without trying can be concerning for many health issues, including stomach cancer.
  • Feeling Full: If you start feeling full after eating only a small amount of food, that’s not normal and should be checked out.
  • Nausea and Vomiting: Regular nausea or vomiting without a clear cause can also be a symptom to watch for.
  • Swelling in the Stomach Area: Any noticeable swelling or bloating in the stomach area that doesn’t go away might be another warning sign.

Did you notice any of these symptoms?

If you notice any of these symptoms, especially if they last more than two weeks, it's important to talk to a doctor. Early detection can make a big difference in treatment options and outcomes.

Diagnosis and Screening

Diagnosis and Screening

Detecting stomach cancer early can be challenging, but there are several key tests used to diagnose it. 

  • Endoscopy:
    • A thin, flexible tube with a camera (endoscope) is passed down your throat to look inside your stomach.
    • Allows doctors to see any unusual areas and take tissue samples if needed.
  • Biopsy:
    • During an endoscopy, doctors may take a small piece of tissue from the stomach lining.
    • This sample is then examined under a microscope to detect cancer cells.
  • Imaging Tests:
    • Includes CT scans, MRIs, and X-rays.
    • These tests help visualize the stomach and surrounding areas for tumours or other signs of cancer.

Remember, you're not alone – support groups, best cancer treatment facilities and a healthy lifestyle can make a big difference.

Currently, there’s no routine screening for stomach cancer in young adults who don't have symptoms. But, if you’re at higher risk—say, if you have a family history of the disease or have been diagnosed with conditions like H. pylori infection—your doctor might recommend regular check-ups or early screening.

It’s a good idea to discuss it with your doctor. They can decide if you need special tests based on your symptoms and family history.

Treatment Options Available for Stomach Cancer

Treatment Type

1.Surgery

Surgery

  • Removes part or all of the stomach
  • Sometimes includes nearby lymph nodes
  • Typically performed if the cancer is localized

2.Chemotherapy

Chemotherapy for Leukemia | Moffitt

  • Uses drugs to kill cancer cells
  • Often administered before surgery to shrink tumors
  • It can also be used after surgery to eliminate remaining cancer cells
  • May be combined with radiation to increase the effectiveness

3.Radiation Therapy

Radiation Therapy

  • Employs high-energy rays to destroy cancer cells
  • Used alongside chemotherapy
  • It can be used post-surgery to prevent recurrence

4. Targeted Therapy

Targeted Therapy

  • Involves drugs that target cancerous cells
  • Targets based on genetic markers
  • Sparing more normal cells from damage

5. Immunotherapy

Immunotherapy

  • Boosts the immune system to recognize better and combat cancer cells
  • Suited for tumors with specific molecular profiles

Why Personalized Treatment Plans Matter

Personalized treatment plans are crucial as they consider the unique aspects of the individual's cancer and general health, combining various therapies to optimize outcomes and reduce side effects.

Your oncology team will discuss the most effective treatment options for your specific situation.

How do you handle the daily challenges of living with stomach cancer? 

Living with Stomach Cancer

Managing this condition involves more than medical treatments; it's about adjusting your daily life to cope with the symptoms and improve your health. 

  • Managing Symptoms:
    • Pain Management: Use prescribed medications and relaxation techniques like meditation to help control pain.
    • Diet Adjustments: Eat small, frequent meals instead of large ones, which can help manage feelings of fullness and reduce discomfort.
    • Staying Hydrated: Drink plenty of fluids to help digestion and avoid dehydration.
  • Nutritional Advice:
    • Easy-to-Digest Foods: Opt for soft, bland foods that are easier on your stomach, such as bananas, rice.
    • Avoid Irritants: Steer clear of spicy, acidic, or fried foods that can aggravate your stomach.
    • Nutrient-Rich Choices: Include protein-rich foods to help maintain your strength, like lean meats, eggs, and dairy, if tolerated (Only if doctors recommend).
  • Lifestyle Adjustments:
    • Regular Exercise: Engage in light activities such as walking or yoga, which can help maintain your energy levels and health.
    • Stress Reduction: Try stress-relief techniques such as breathing exercises, yoga, or spending time on hobbies that relax you.

Stay positive and manage day-to-day challenges by making practical adjustments with our support. Schedule a consultation to discuss your recovery from stomach cancer.

Conclusion

Stomach cancer in young adults might seem unexpected, but by understanding the risk factors and recognizing the symptoms, you can take charge of your health. Early detection is critical, and with advancements in treatment, there's a lot of hope for young adults facing this diagnosis.



FAQs

Is stomach cancer hereditary?
Stomach cancer can be hereditary, especially in cases with a family history of the disease.

What are the long-term effects of stomach cancer treatment?
Long-term effects of stomach cancer treatment can include nutritional deficiencies and changes in digestion.

What lifestyle changes can I make to reduce my risk of stomach cancer?
To reduce the risk of stomach cancer, adopt a diet low in processed foods and rich in fruits and vegetables, and avoid smoking.

Reference

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983757/

https://www.sciencedirect.com/science/article/pii/S2210261223008878

https://newsnetwork.mayoclinic.org/discussion/many-younger-patients-with-stomach-cancer-have-a-distinct-disease-mayo-research-discovers/

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Question and Answers

. Heterogeneous Soft Tissue Nodule in the Right Lower Lobe (RLL) Size: 14 x 8 mm This nodule is described as heterogeneously enhancing, which suggests it may have varying levels of blood flow or different tissue densities within it. This could be indicative of a tumor. 2. Air Space Opacification in the Right Upper Lobe (RUL) Finding: There is patchy air space opacification with interlobular septal thickening in the posterior segment of RUL. This could represent infection, inflammation, or more concerningly, metastatic disease or lung cancer causing these changes. 3. Left-sided Pleural Effusion and Subsegmental Atelectasis Pleural Effusion: Mild left-sided pleural effusion is noted. Pleural effusion can occur in the context of metastatic disease or cancer. Atelectasis: This refers to partial lung collapse, which may occur when there is a mass obstructing the airflow or due to pleural fluid. 4. Enlarged Mediastinal and Hilar Lymph Nodes Lymphadenopathy: There are multiple enlarged and necrotic lymph nodes, most notably in the right hilar region, with the largest measuring 35 x 25 mm. Enlargement and necrosis of lymph nodes can be a sign of metastatic spread. The presence of enlarged lymph nodes in the mediastinum and hilum is typical of malignancy spreading beyond the primary lung site. 5. Liver Lesion Size: 14 x 13 mm lesion in the right hepatic lobe, which is well-defined and peripherally enhancing. A hypodense lesion could indicate a metastatic tumor, especially since it shows peripheral enhancement, a characteristic of some types of metastases. 6. Skeletal Lesions Multiple Lesions: There are mixed lytic and sclerotic bony lesions, some with soft tissue components. These lesions involve the vertebrae, ribs, glenoids, sternum, sacral ala, iliac bones, and femur. Soft Tissue Components: Some of the lesions, such as those in the ribs and iliac bones, have a soft tissue component, which suggests more advanced involvement, possibly indicating metastases. 7. Other Findings: No signs of emphysema, bronchiectasis, or pneumothorax were noted, which is reassuring as it reduces the likelihood of certain types of lung diseases. The liver, spleen, pancreas, kidneys, urinary bladder, and prostate all appear normal on imaging, which helps to rule out major issues in these organs. Impression: The findings of a heterogeneously enhancing solitary pulmonary nodule in the right lung, with associated hilar and mediastinal lymphadenopathy, along with a hepatic lesion and extensive skeletal involvement (with mixed lytic and sclerotic lesions), strongly raise concern for metastatic disease, most likely originating from the lung. The primary lung cancer is a potential consideration, though other primary sites are also possible. Next Steps: Histopathological correlation: This means a biopsy or tissue sample should be taken from one of the lesions (pulmonary, hepatic, or bone) to confirm whether the lesions are malignant and, if so, to identify the type of cancer. This will help determine the best course of treatment. The overall picture suggests a metastatic malignancy, likely of pulmonary origin, but further investigations and biopsy are essential to establish a definitive diagnosis and treatment plan.

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Answered on 8th Mar '25

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