Detecting Advanced Stomach Cancer in the Absence of Symptoms

Mr. Pham Tan Loi, an 88-year-old man, experienced constipation and difficulty with bowel movements. After seeking medical attention, it was discovered that he had stage 4 stomach cancer. Doctor Nguyen Quoc Thai, the Head of the Department of Gastrointestinal Surgery at Tam Anh General Hospital in Ho Chi Minh City, explained that Mr. Loi did not exhibit typical symptoms of stomach cancer. Although he was eating normally and had not lost weight, he did have other health conditions such as coronary artery stenosis, diabetes, Parkinson’s, and lipid disorders. A CT scan revealed a 6 cm tumor in his stomach that had invaded the left liver, indicating anemia and end-stage stomach cancer.

Dr. Thai explained that surgery was necessary to remove the tumor and address the bleeding to prevent potentially dangerous complications, such as gastric perforation or peritonitis. Despite the risks involved with surgery, it was the best course of action given Mr. Loi’s condition. During the procedure, part of the liver affected by the tumor was removed, along with most of the stomach and surrounding lymph nodes. Fortunately, Mr. Loi recovered well post-surgery and was able to resume a normal diet and daily activities after a week in the hospital.

It was noted that Mr. Loi’s cancer was at a late stage, making complete eradication challenging. Doctor Thai emphasized the importance of early detection for stomach cancer, as it significantly increases the chances of successful treatment. Regular checkups and screenings are recommended, especially for individuals over 45 and those at higher risk. Stomach cancer symptoms can be subtle and easily overlooked, so vigilance is crucial for timely intervention and management of the disease.