Stomach Cancer in Young Adults
By Dr Avinash D Talele MD DM is a Senior Medical Oncologist and Hematologist in mumbai and Thane
Stomach cancer is quite common in India, ranking fifth for men and seventh for women. It occurs when malignant cells form in the lining of the stomach. Also known as gastric cancer, it’s more prevalent in older adults. But there’s a global increase in stomach cancer in young adults before they turn 50. This presents unique challenges as the biology of their cancer can differ from that seen in older populations.
According to Dr.Avinash Thalele, a certified
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“The nature of stomach cancer in young adults often means diagnosis occurs at a later stage and the type of cancer is more aggressive. This delay can be due to the subtlety of symptoms. It can also happen because healthcare providers are less suspicious when treating younger patients. It is all about identifying the warning signs and doing the right tests.”
Causes of Stomach Cancer in Young Adults
Understanding the causes of stomach cancer in young adults is crucial for early detection and treatment. Several factors contribute to the risk of developing this disease at a young age.
Genetics
Approximately 10% of all cancers are attributed to GENETICS factor and Studies show that around 1 to 3% of gastric cancers may be hereditary. Mutations in the CDH1 gene, for example, lead to HDGC (hereditary diffuse gastric cancer). They cause changes in the cells lining the stomach, predisposing individuals to stomach cancer from a young age. Families with a history of stomach cancer should consider genetic counseling to assess their risk and discuss preventive measures. These familial cancers are more aggressive in nature.
Helicobacter pylori Infection (H. pylori)
This common stomach infection is a significant risk factor for stomach cancer at any age. It causes chronic inflammation of the stomach lining, leading to ulcers and, eventually, cancerous changes. Young adults infected with H. pylori require appropriate antibiotic treatment to reduce their risk of developing stomach cancer later in life.
DIET
Diets high in salty and smoked foods and low in fresh fruits and vegetables can increase stomach cancer risk. Young adults often consume fast or processed foods. Such foods contain carcinogens or promote conditions in the stomach that enhance cancer development. A balanced diet & rich in antioxidants and fibers can reduce cancer risk.
Smoking and Alcohol
Smoking and excessive alcohol consumption can damage the LIVER
Environmental Factors
Exposure to certain environmental toxins, such as asbestos and heavy metals, can also play a role. Workplaces lacking safety standards may expose young adults to these harmful substances, contributing to the risk of cancer. However, there is no strong proof for this association at present.
Symptoms of Stomach Cancer in Young Adults
Symptoms of stomach cancer can be vague and often resemble less severe conditions. The symptoms depend on the location of the cancer inside the stomach
Indigestion and Stomach Discomfort
Chronic indigestion and stomach discomfort that do not improve with over-the-counter medications can be early signs of stomach cancer. These symptoms are often overlooked or attributed to less severe conditions like gastritis. The symptoms are not distinguishable from other gastric problems.
Mild Nausea
Ongoing mild nausea, not linked to other known causes, can be an indication of stomach cancer. It might not always lead to vomiting but can significantly affect appetite and quality of life.
Ongoing mild nausea, not linked to other known causes, can be an indication of stomach cancer. It might not always lead to vomiting but can significantly affect appetite and quality of life.
Weight Loss
Unexplained weight loss, without changes in diet or exercise routine, is a common symptom of many cancers, including stomach and lung cancer.This symptom is particularly significant when it’s rapid and severe.
Unexplained weight loss, without changes in diet or exercise routine, is a common symptom of many cancers, including stomach and lung cancer.This symptom is particularly significant when it’s rapid and severe.
Loss of Appetite
A significant and unexplained loss of appetite can indicate the stomach’s inability to hold and digest food. You must investigate it further, mainly if it’s sudden and accompanied by other symptoms. Loss of appetite is commonly linked to cancer of the lung, ovaries, and pancreas.
Anemia
Stomach cancer can cause chronic bleeding, which may not be visible. This can lead to anemia, characterized by fatigue and paleness.
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A significant and unexplained loss of appetite can indicate the stomach’s inability to hold and digest food. You must investigate it further, mainly if it’s sudden and accompanied by other symptoms. Loss of appetite is commonly linked to cancer of the lung, ovaries, and pancreas.
Anemia
Stomach cancer can cause chronic bleeding, which may not be visible. This can lead to anemia, characterized by fatigue and paleness.