Song Keun Am/professor of Busan National University Hospital, Internal Medicine Department
Recently, there is a story of two stomach cancer patients in the outpatient department. One person was a woman in her fifties, who underwent stomach endoscope test and diagnosed to be in the early stage of stomach cancer three years ago, The patient was hospitalized, operated and removed the stomach cancer tissue through endoscope for about an hour, was hospitalized for four days and because she did not have other illness, she was able to leave the hospital. Nowadays the patient is in good health and the cancer did not relapse.
The other patient was as man in his sixties. He was also having symptoms like dyspepsia for several months and appeared to lose weight. He underwent stomach endoscope recently and was diagnosed that the stomach cancer had progressed and was discovered through the computer that it has move from the abdomen to the liver. This patient is undergoing anti-cancer science treatment now because it is in its fourth stage.
Even the same cancer patients we can understand that there is quite a difference. A patient who underwent examination before the symptoms starts is ahead of time than the second patient who already had symptoms. Its too late if we wait for the symptoms to appear before we undergo stomach endoscopy. So it is advisable to have examination regularly.
The stomach cancer is one that occurs most frequently in our country. There are about 20,000 patients diagnosed every year. This is because the diagnosis of the stomach cancer is undergone from the first stage by the development of endoscopy. Patients who receive treatment have expanded and there was a decrease seen in the mortality rate caused by stomach cancer in around 1992. Or, it is thought that a lot of survival rates is because of the improved method of treatment and operation and also the development of various anti-cancer medicines even for advanced stage cancer.
The stomach cancer is often taken for granted by thinking it is not so serious because of the same symptom's as the pain in the stomach and dyspepsia and the majority of the cases are without special symptoms in the first stage. The art of endoscope excision or the laparoscope is done in case of an initial stomach cancer and about 80% of the stomach cancer patient are found to be healthy through medical examination. It is reported that a complete cure in the gastrectomy and possible 5-year survival rate is up to 90% for early stage, 70-80% for 2nd stage and possible 5 years survival, 15-50% for 3rd stage and 0-10% for 4th stage . We have to know that there is a necessity of an initial diagnosis again.
Spicy and salty foods should be avoided for the prevention of the stomach cancer. It is also important to have initial diagnosis. The Helicobacter Pylori is known to cause stomach ulcer or the duodenal ulcer which is closely related to the occurrence of the stomach cancer besides the dining habit. Chronic gastritis may be inherited where the mucus membranes of the stomach is worn out and the growth of polyps and lessons start to appear which are precursors of stomach cancer. With these appearances it is likely that the patient is six times prone to stomach cancer if the above case is not removed.
It is encouraged by the National Health Insurance to do the stomach endoscopy every other year after the 40 years old for an initial diagnosis of the stomach cancer. You should often undergo regular check up from earlier age and consult a specialist especially if you know that you have the hereditary disease.
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