slide 1: BY DR. PRABHU N NESARGIKAR
Cancer and Bariatric Surgeon
DIAGNOSIS OF
STOMACH CANCER
WWW.CANCERANDBARIATRICSURGEON.COM
slide 3: Diagnosis and treatments have evolved
over the years.
The doctor will first discuss medical
history and examine the patient. If the
doctor suspects stomach cancer tests
will be needed to confirm.
MEDICAL HISTORY AND PHYSICAL EXAM
Doctors will discuss regarding bloating
abdominal pain other digestion issues.
The doctor will do a physical examination
along with this.
The other diagnosis methods will involve
the following ways:
slide 4: UPPER ENDOSCOPY
EGD or Upper endoscopy is the test used to
diagnose stomach cancer. Doctors
recommend this test when people have risk
factors or symptoms associated with
stomach cancer.
The doctor passes a thin flexible tube called
endoscope with a small video camera on the
end down your throat. If abnormal tissues
are seen a small part of tissue can be taken
out and sent to a lab to check for cancer.
When the doctor views a tumour in the
stomach through an endoscope it may
appear like a mushroom-shaped mass. But
unfortunately there is a type of stomach
cancer called hereditary diffuse gastric
cancer syndrome in which the tumour
cannot be spotted during an endoscopy.
slide 6: ENDOSCOPIC ULTRASOUND
This test uses sound waves to produce
images of organs.
A probe called transducer is placed on the
stomach wall. This probe detects echoes that
are computer processed to produce an
image. The quality of this image is better
than standard ultrasound.
Endoscopic ultrasound helps the doctor
assess the stage of cancer the lymph nodes
and tissues.
slide 7: BIOPSY
When the doctor conducts an endoscopy
spots an abnormal region he recommends a
biopsy to conform if it is cancer. Biopsies
may also be taken from the stomach
intestines lymph nodes to check if cancer
has spread.
TESTING BIOPSY SAMPLES
Biopsy samples are sent to a lab and
examined under a microscope to check if
they are cancerous.
slide 8: IMAGING TESTS
Imaging tests use x-rays or magnetic waves
sound waves or radioactive substances to
create images.
CHEST X-RAY
Doctors may recommend this test to check if
cancer has spread to the lungs from the
stomach.
slide 10: COMPUTED TOMOGRAPHY
CT OR CAT SCAN
A CT scan uses x-rays to make accurate
images of your body.
MAGNETIC RESONANCE
IMAGING MRI SCAN
MRI scans use radio waves to get detailed
images of soft tissues in the body
slide 11: This procedure uses X-rays to look at the
inner lining of the stomach interstine and
esophagus. But it is not a very accurate
diagnosis procedure as sometimes it can
miss finding abnormal regions. But it is
considered as a less evasive procedure.
POSITRON EMISSION
TOMOGRAPHY PET SCAN
During a PET scan doctors are injected with
a radioactive form of sugar. This collects
mainly in cancer cells. The areas radioactive
sugar is identified with images captured by a
camera.
UPPER
GASTROINTESTINAL GI
SERIES
slide 12: LAPAROSCOPY
Doctors recommend laparoscopy only after
stomach cancer is confirmed . Since imaging
tests such as CT or MRI scans can miss small
tumours doctors perform this procedure to
confirm cancer before surgery.
LAB TESTS
Doctors recommend a complete blood count
test to rule out for anemia that is usually
caused in patients who have stomach cancer.
In a similar manner other blood tests may be
recommended to check if your other organs
are healthy before undergoing a surgery to
remove the tumor.
slide 13: www.cancerandbariatricsurgeon.com
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