What Is Stomach (Gastric) Cancer?
Cancer starts when cells in the body change (mutate) and grow out of control. These cells can form lumps called tumors. Cancer that starts in the cells of the stomach is called stomach or gastric cancer.
Understanding the stomach
The stomach is the sac that holds and helps digest food. The wall of the stomach is made of many layers of tissue.
When food is swallowed, it goes down a tube called the esophagus. The esophagus carries it to the stomach. The stomach adds chemicals and fluids to food that help start the process of digestion. There's a strong muscle layer of the stomach wall. It squeezes and mixes the contents to make it soft. Food then leaves the stomach and goes into the small intestine.
When stomach cancer forms
Stomach cancer almost always starts in the stomach’s innermost layer or lining, called the mucosa. This type of stomach cancer is called adenocarcinoma.
Cancer cells can then spread deeper into the other layers of the stomach. If cancer cells reach the stomach’s outer layer, they can spread into nearby organs.
Stomach cancer can also spread to other parts of the body. This spread is called metastasis. The more cancer spreads, the harder it is to treat.
Treatment choices for stomach cancer
You and your healthcare provider will decide on the treatment plan that’s best for you. It's common to get more than one type of treatment. Your treatment choices may include:
Surgery to remove the tumor or the part of the stomach with cancer along with some nearby tissue. Sometimes the whole stomach must be removed (called gastrectomy).
Chemotherapy (chemo) uses strong medicines that kill cancer cells. Many times, a combination of medicines is used. Chemo is most often given after surgery and/or along with radiation.
Targeted therapy uses medicines that focus on changes in the cancer cells. This helps save normal cells while killing cancer cells. It may be used for advanced stomach cancer.
Immunotherapy may also be used for advanced stomach cancers when other treatments don't work. These medicines boost the natural immune system so it can better kill cancer cells.
Radiation therapy uses focused beams of energy to kill cancer cells. It may be used before or after surgery.