Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
150 Doctors are Online

Adenocarcinoma of the stomach - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Cancer
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   hi Doctors, My father is detected with an stomach ulcer. The Pathology report shows Adenocarcinoma. Histological Grade II. Can you please suggest the next course of treatment for this.
Doctor :   hi
Doctor :   depending on the site and the size, your father might need to under go a surgery to remove the affected portion of the stomach
Doctor :   this might be a partial gastrectomy
User :   that is OK... First I need to understand the ... how big is the problem
Doctor :   your father is having stomach cancer
User :   yes...
Doctor :   and any cancer, of the stomach, has a tendency to spread to local or distal organs by blood or direct spread
User :   As we have heard... cancers stages... so can I know what is the stage
Doctor :   and earlier the condition is treated , the much better is the prognosis
User :   OK...
Doctor :   the stage , defines the level of severity of cancer
User :   So... does this means Stage II is a complex situation
Doctor :   lower grades - mean small tumor size and less spread of the cancer
Doctor :   higher stages - mean large tumor size and distant spread of the tumor
Doctor :   usually most tumors can be covered within 5 stages , not more than that
Doctor :   in your fathers case, stage 2 , means a slightly larger tumor, that has spread to adjacent area by direct contact
User :   My father had detected with a ulcer just 1yrs 4 moths and after treatment (medicins) he was fine. Even in the Endoscopy, there was no detection.... so can in this period it can reach to stage II
Doctor :   yes , it can
Doctor :   usually long standing gastric ulcers can become cancerous, due to constant inflammation and lack of proper healing of the site
User :   oh... or it could be a case... that in endoscopy ... it was missed to detect?
Doctor :   no , it is very unlikely to be missed by endoscopy
User :   See... Now I need to know what are the test I had to get before surgery...
Doctor :   most importantly , a CT scan and Skeletal scan will be conducted to know the extent of spread of the tumor
Doctor :   and then depending on the location of the ulcer, a surgery will be done , to remove the caffected part ,and then reconnect the normal adjacent parts
User :   I am asking this... as I have experienced that if I admit my father in a hospital.. they will start charging from the day one for the services... where for few days there will be just investigations... and no actual treatment
Doctor :   you need to understand, that cancer pateints , have low immune status and malnutrition
Doctor :   hence the nutrition has to be improved and the status to undergo surgery has to be assessed before any surgery can be attempted
Doctor :   You have very good hospital , that is AIIMS in delhi
User :   so in your openion, I must admit my father to hospital now...
Doctor :   no , i mean to say, that your fathers fitness has to be determined for surgery before
Doctor :   so just a consultation, and a examination by a onco-gastroenterologist will help initially
Doctor :   once all the tests have been done, your father can be admited 1 day prior to surgery.
User :   great.. this is what I wanted to know... means the tests can be done without admitting my father....
Doctor :   yes
Doctor :   he can get the tests done , before the actual surgery
User :   thanks...
Doctor :   you are most welcome
Doctor :   i hope this information is helpful
User :   My father is not experiencing any problem right now... and the endoscopy was done just because I went to a doctor and insisted... as my father was complaining mouth ulcer for last 10 days.... it was the same thing happened last time... so I decided to go for endoscopy to avoide any doubt
Doctor :   ok, that was good
User :   so that is why I am bit worried that he is having no proble.. and still the problem is very big
Doctor :   stomach cancers , usually do not present unless when become serious
User :   what is the success rate of such surgery??
Doctor :   your father is lucky, that he has been diagnosed at a early stage
Doctor :   at stage 2, with surgery the survival is very good ,
Doctor :   say about 75 - 85%
User :   good.... and what about the re occurence???
Doctor :   less likely , but can occur in about 5-15% cases, depending on the site and extent of spread , as well as the extent of surgery done
User :   ok... will post surgery ... make my father difficult... I mean he has to care a lot... or will be a normal life...
Doctor :   fora few weeks , it might be difficult for him to cope up
User :   like...
Doctor :   but after that , he will be fine and will have no issues
Doctor :   nausea, vomiting, distended stomach, bloating, etc might be some symptoms that he may have post surgery
User :   Now what will be the approx cot of the tratment including the surgery.. just an idea
Doctor :   may be about 0000 to 2 lakhs
Doctor :   it depends on the hospital and the doctor you go to
Doctor :   corporate hospitals do charge more
Doctor :   you can get an estimate by enquiring at specific hospitals
User :   so the corporate hospital will be 300K... or more?
Doctor :   yes
User :   Ok...
Doctor :   it seems that the chat time is up
Doctor :   please log in again if u have any more query
Doctor :   take care and bye for now
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor