One of the problems with gastric cancer is that it is difficult to diagnose in its early and advanced stages. Gastric cancer (commonly called gastric adenocarcinoma) often has no specific diagnostic symptoms in its early stages and unfortunately it is diagnosed when it progresses and spreads to other parts of the body.
What we will discuss in this article will be the symptoms of gastric cancer in women. The symptoms of cancer are the same in men and women, with the difference that unfortunately there is bilateral ovarian involvement in women in the advanced stages of gastric adenocarcinoma.
What are the risk factors for stomach cancer?
- Adults over fifty years old
- Men are more at risk for stomach cancer than women
- People who have a history of gastrointestinal cancers in their relatives
- Some races:
- The inhabitants of East Asia that is, the Koreans and the Japanese
- South American residents
- Helicobacter pylori plays a prominent role in adenocarcinoma and gastric lymphoma.
Habits that increase your risk of stomach cancer during the day
The following habits can make you more prone to stomach cancer over time:
- Consumption of salty foods
- Consumption of salinized foods
- Prepared and processed foods
- Lack of physical activity
- Consume undercooked or raw foods
The special eating habits of East Asians may be the reason for their high risk of stomach cancers.
Symptoms of gastric cancer in women
Gastric cancer in men and women have the same clinical signs and symptoms, and the difference between their symptoms is that advanced gastric cancer can lead to bilateral ovarian involvement in women and cause symptoms related to this conflict in women with gastric cancer.
Common symptoms of gastric cancer in men and women
Here are the common symptoms of gastric cancer in men and women:
- Heartburn that occurs continuously and frequently
- Vomiting: Can be bloody or bloodless. People with gastric cancer usually vomit the food after eating, which is often not digested.
- Feeling full in the upper abdomen
- Feeling full early: (People with stomach cancer usually feel full by eating a small amount of food.)
- Decreased appetite
- Significant weight loss that has occurred recently (in the last six months) without dieting.
- Stomach pain: Stomach pain usually gets worse after eating.
- Sometimes the patient complains of difficulty swallowing.
- Bloody stools (melena: Dark, tarry, smelly stools and often loose stools, usually caused by cancers of the upper gastrointestinal tract, such as stomach cancers).
Following the spread of gastric cancer and invasion of the liver (liver metastasis); Symptoms of liver involvement occur as follows:
- Upper abdominal pain
- Swelling and abdominal fluid retention (ascites)
- Loss of consciousness
Examples of Paranioplastic Syndromes of Gastric Cancer
In addition to the symptoms mentioned above, which are common in men and women with gastric cancer, gastric cancer of the expanded gastric adenocarcinoma type can be accompanied by a number of other signs and symptoms, which are called paranoplastic syndromes of gastric cancer. :
- trousseau syndrome
Which includes a set of events that occur following the formation of clots in the body’s arteries.
- Clots form in the veins of the body for no apparent reason
- Critical test disorders for no reason
- Spot bleeding on the surface of the body
- Occasionally rarely clots form in the arteries of the body
So in a person who suffers from vascular clots and impaired critical blood tests for no apparent reason or disease, we should suspect gastric adenocarcinoma.
How do dermatomyositis skin rashes appear?
In adults, 30% of cases of myositis are associated with underlying cancer.Dermatomyositis occurs with fatigue, pain and muscle weakness, and pain and swelling and stiffness of the joints and certain skin rashes. Dermatomyositis skin rashes have a special shape:
- Swelling around the eyes and discoloration of pink to purple eyelids (hilotropic rash)
- Redness on the joints of the fingers and knees and the elbows with increasing skin thickness (Gutron papule)
- Sensitivity to sunlight and redness of the cheeks and bridge of the nose and red spots on the nail.
These are the manifestations of dermatomyositis.
- Acanthosis nigricans:
- Darkening and velvety folds of the body, such as the armpits
- Seborrheic keratosis:
- Seborrheic keratosis is a light, brown, or black skin lesion that appears in adults on the chest, face, back, shoulders, and abdomen. In internal organ cancers, such as gastric cancer, there are usually multiple seborrheic keratoses.
- Increased blood calcium or hypercalcemia can lead to cardiac arrhythmias and….
Signs of multiple seborrheic keratoses in gastric cancer is called Lester Trélat.(???)
- Kidney problems can also be a paranioplastic complex in gastric cancer. Usually a person has protein excretion in the urine and swelling of the limbs and abdomen.
Evidence of carcinoma
The following evidence also supports the presence of gastric carcinoma:
- Virchow ‘s glands
The lymph node below the left clavicle enlarges
Virchow ‘s node
- Mary Joseph nodule system:
Refers to the size of the lymph nodes around the umbilicus.
- The presence of a tumor or gland in the anal canal:
Occasionally, in the advanced stages following gastric adenocarcinoma metastasis, there is a bulge in the anal canal during examination.
All of the above will be symptoms of gastric cancer in both women and men.
The only case specific to the symptoms of gastric cancer in women is a malignant, bilateral ovarian tumor known as a Krukenberg tumor.
This tumor is associated with enlarged ovaries and involvement of the pelvis and abdomen, and in addition to other symptoms of gastric cancer, the patient will complain of fullness and heaviness of the pelvis and abdomen. This tumor, which occurs in both ovaries at the same time, will not be treated with surgery. The only way to treat it is to treat the underlying cancer itself, which is gastric adenocarcinoma.
Therefore, gastric cancer in women can be manifested by fullness and heaviness of the pelvis and abdomen.