Dr. Gautam Goyal is a lead consultant for the Medical & Hemato-Oncology at Max Super Speciality Hospital, Mohali. Dr. Goyal trained in MD (Internal Medicine) from CSMMU (KGMC), Lucknow before initiating his career in Hemato-Oncology. He completed his DM (Medical Oncology) from Tata Memorial Hospital, Mumbai and is ECMO (ESMO Certified Medical Oncologist).
Stomach cancer is characterized by a growth of cancerous cells within the lining of the stomach. Cancer starts when the structure of DNA changes. When this happens, it can disrupt the instructions that control cell growth. Also called gastric cancer, this type of cancer is difficult to diagnose because most people typically don’t show symptoms in the earlier stages. According to the World Health Organization (WHO), 723,000 cancer-related deaths are caused by stomach cancer each year worldwide. It is the fifth most common cancer worldwide, but the third leading cause of cancer-related deaths. The majority of people diagnosed with stomach cancer either already have metastasis or eventually develop it. Metastasis occurs when the cancer spreads from the area in which it first developed. There are several symptoms associated with stomach cancer. However, as they also exist in many other less serious conditions, gastric cancer may be difficult to recognize at first.
Signs and symptoms of gastroesophageal junction cancer and stomach cancer may include:
- Feeling bloated after eating
- Feeling full after eating small amounts of food
- Severe, persistent heartburn
- Severe indigestion that is always present
- Unexplained, persistent nausea
- Stomach pain
- Persistent vomiting
- Unintentional weight loss
Diagnosis includes gastroscopic exam using fiber optic cameras, Ultrasound scan for cancer in the top part of the stomach, Barium meal X-ray where the patient swallows a liquid which contains barium. This helps identify the stomach during an X-ray., Laparoscopy where a thin tube with a camera at the end, is inserted through a small incision in the lower part of the stomach and CT scan or PET scans where take a series of radiographic pictures of the inside of the body. The images help the specialist determine how advanced the cancer is, and where in the body it has spread to. Treatment for stomach cancer depends on several factors, including the severity of the cancer and the individual’s overall health and preferences. Treatments may include surgery, chemotherapy, radiation therapy like adjuvant radiation used to kill off any remaining cancer cells around the stomach and neoadjuvant radiation used before surgery to make the tumors smaller, so that they can be removed more easily, medications. There are several stages of stomach cancer. The higher the stage, the more advanced the cancer is, and the lower the chances of survival.
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With vast experience of 12 years & work in the prestigious TMH, Mumbai for over 5 years, he is widely appreciated for his clinical judgement, operative skills and state of art care for patients with all types and stages of cancer. His main area of interest includes breast cancer with breast conservation surgeries and oncoplasty.