Sent by Dr. Shk. Albana Duni
Benign and malignant stomach tumors (Part two)
Risk factors that lead to stomach cancer
- Having an HP infection exposes us 2-6 times more to cancer compared to those who do not have this infection. However, in many people with HP infection, stomach cancer has not been found, and research shows that genetic factors play a significant role. Having HP along with a gene form that causes low acidity in the stomach increases the risk for stomach cancer.
- The male sex is at 2 times higher risk than the female sex.
- The age at which stomach cancer is most often detected is from 50-60 years old. However, it can also be encountered under the age of 40 years.
- Diet plays a significant role. The consumption of preserved, smoked, salted foods, foods containing nitrates and nitrites, especially in processed meats, constitutes a risk factor that should not be neglected. On the other hand, the use of fruits, vegetables, especially those of red or yellow color like tomatoes, carrots, sweet potatoes, helps in protecting the body from stomach cancer.
- Alcohol and tobacco are implicated in stomach cancer. Drinking alcohol in moderation, which has been defined as no more than one drink per day for women, and two drinks for men can have a positive result on health. But drinking more can cause a number of problems that include irritation of the stomach and esophagus which can lead to cancer.
- The operated stomach poses a risk about 20 years after the surgery. Usually, it is about the removal of a part of the stomach, or the replacement of the pyloric valve, interventions that were made for the treatment of peptic ulcer. After the operation, biliary juices, sometimes even pancreatic ones can reflux back causing irritation and inflammation of the stomach. (gastritis) This condition can lead to stomach cancer in some people.
- Stomach polyps, which are small growths inside the stomach, are generally benign, but adenomatous polyps, especially when they are larger than 1cm in diameter, are often precancerous.
- Family cancer syndrome includes a hereditary disorder such as familial adenomatous polyposis, non-polyposis colorectal cancer, which easily increases the risk for stomach cancer. Hereditary diffuse gastric cancer is a rare form of stomach cancer that is associated with mutation of the CDH1 gene. A parent with the defective gene has a 50% chance of passing it to each of their children. For this reason, ¾ of the people who inherit this gene develop stomach cancer, therefore doctors recommend stomach surgery for all children of parents with this gene. However, DNA tests can now determine exactly who is at risk. If you have a family history of gastric cancer, your doctor or geneticist can answer your questions about DNA tests.
- Family history: if the parents have suffered from this diagnosis, there is a 2-4 times higher risk for stomach cancer.
- Pernicious anemia is a condition that often accompanies atrophic gastritis. It is related to the lack of vitamin B12 which affects the production of healthy red blood cells. This anemia is easily treated with vitamin B12 injections, but having this disease puts you at risk for stomach cancer.
- Blood group A: for reasons still unknown, people with this blood group have a higher risk for stomach cancer.
- Origin: the prevalence is higher in some countries like Japan, Korea, Eastern Europe, Latin America, compared to the USA. This difference is related to the diet and HP (Helicobacter pylori)
- Environmental exposure relates to some contaminated workplaces like with asbestos, nickel, etc.
- Obesity: men who weigh 15-20 kg more than the ideal weight, have a higher risk.
When should you seek a doctor's opinion?
Stomach cancer is treatable if it is caught early. Unfortunately, symptoms rarely start in the early stages. When symptoms do appear, they are often vague, and can easily be mistaken for a less serious problem like a virus, or acid reflux.
Should you see your doctor if you have a persistent feeling of discomfort in the upper or middle region of your abdomen, especially when it is related to weight loss or a general weakness?
YES
You should also get checked if you have vomiting after meals, or black stools. But not always such signs are the result of cancer.
To help in diagnosing stomach cancer and to exclude its possibilities, one or more of the following tests are recommended:
- Fecal occult blood test: is a non-invasive test to find the presence of hidden blood in feces. Although microscopic bleeding is one of the first signs of cancer, it can also be caused by other problems.
- Upper endoscopy or gastroscopy is a procedure that allows the doctor to see abnormalities of the upper gastrointestinal tract that cannot be distinguished by X-rays. This is the most accurate procedure when it is performed according to the protocol. Through this examination, the doctor can also take a biopsy where the stomach can be evaluated for precancerous conditions such as atrophy, metaplasia, and dysplasia. Upper endoscopy examines the esophagus, stomach, and the upper part of the small intestine. This procedure takes a few minutes. After this examination, you should not eat for 2 hours.
- Radiological examination of the upper gastrointestinal tract, which examines the esophagus, stomach, and the first part of the small intestine. Before the test, barium sulfate, a thick liquid, is drunk, which temporarily coats the stomach. After this test, you may eat normally or continue your usual activities, but it is necessary to drink more water to remove the barium from your digestive system. The simplest complication is temporary constipation.
- Endoscopic ultrasound or EUS helps to determine if cancer has spread to the walls of the stomach, or to nearby tissues and lymph nodes.
- Computed tomography or scanner is used to check for cancer spread outside the stomach especially to organs like the liver and lungs.
- Magnetic resonance imaging looks for cancer spread behind the stomach.
- Radiological examination of the chest sees if cancer has spread to the lungs.
This article has been sent by: Dr. Shk. Albana Duni
very valuable
Sent by vali, më 11 January 2013 në 06:01
a very good and valuable article
Sent by ardeshir, më 01 February 2013 në 11:25
Is there a cure for tumor disease and if so, how? Please answer me
Sent by Aldina, më 17 July 2013 në 16:28
Hello Aldina!
Regarding your question if the disease of the tumor can be cured, let us first clarify that this depends on whether the tumor is benign or malignant. When the tumor is malignant (confirmed by biopsy), the cure depends on the histological type of the tumor, which indicates how aggressive it is, and on how early the tumor is discovered. The earlier the tumor is discovered, the greater the patient's chances of survival. We are talking about survival over years. In our practice, we have had cases where the tumor was caught very early during a gastroscope with biopsy: "early gastric cancer" means that the tumor has not affected all the layers of the stomach, has not given local and distant lymph nodes, nor metastases. In this case, the tumor and part of the stomach were removed, oncology protocols were followed, and the patient is cured but is regularly monitored
Sent by Albana Duni, më 18 July 2013 në 04:24
Hello Dr. Albana!
My father underwent a surgery where his stomach was completely removed. After the surgery, the biopsy of the stomach and surrounding glands showed that the mass found was malignant cancer. The doctor who performed the surgery stated that there was no metastasis. The development of the cancer is 5 months. I wanted to know if undergoing chemotherapy, is there a chance of survival or at least prolonging life for several more years.
Thank you very much! Edlira
Sent by Edlira, më 27 November 2013 në 17:45
Hello Doctor. I have been smoking for almost a year. Lately, I've had some stomach concerns. A month ago, I had bloody stools. But only for one day. A week ago, I had a sore throat and a lump appeared in my throat. I went to see a doctor and they told me that my throat was irritated. They asked me if I had acid reflux, which I do. They said I need to get my stomach checked. But I haven't gone for a check-up since then. Now, I've started to feel a burning sensation in my stomach. I have an appetite but can't eat much because I feel full right away. I have stomach bloating and at night I feel choked because a substance comes up from my throat that makes me want to vomit. All day I have this feeling that mixes with burning from my chest to my stomach. Should I go for a check-up or is there something to worry about? I want to point out that my grandfather died of lung cancer. My grandmother has breast cancer. My grandmother's sister had stomach cancer. And my brother had a tumor in the muscle near the pit next to our neck. Please, I am very anxious and await your answer
Sent by Dorina, më 10 January 2014 në 07:08
Hello Dorina! Your complaints are definitely related to the stomach. There are several reasons why the stomach can become ill. First is Helicobacter, second is genetics, third is smoking, etc. If you have two reasons, it means you are predisposed to gastritis, ulcers, and others. However, the diagnosis of stomach diseases cannot be made only based on complaints because they are similar for some diseases. More accurately, the diagnosis is made with gastroscopy, meaning the probe, which nowadays is done very easily. So, you need to undergo gastroscopy.
As for the bloody stool, it is not related to the stomach but to the intestine
Sent by Albana Duni, më 14 January 2014 në 08:24
Hello!
I wish you good luck and thank you for the very necessary information. A friend of mine removed a polyp from her uterus two years ago. A few months ago, she started having stomach problems. She has bloating, mild burning, and vomiting with a greenish color. I want to inform you that she is 35 years old, has been smoking regularly for 10 years, and occasionally drinks alcohol. She suffers from diabetes, hypertension, and has only one child who is 10 years old. A few days ago, she had a stomach endoscopy. The doctor told her that she has gastritis but suspects (as it was just forming) a polyp in the lower part of her stomach. He has given her medication and told her to wait until September to have another endoscopy. Please tell me where I can find you for a consultation. Doctor, I also want to mention that she has concerns about colitis as well as being overweight, as she has gained 10-12 kg over three years while having the same eating habits. I look forward to your response. Thank you
Sent by Drita Kolasi, më 19 February 2014 në 02:05
Hello, my father has just been diagnosed with ventricular adenocarcinoma. Is it dangerous?
Sent by Shqiprime, më 22 February 2014 në 09:34
Hello Drita! You are rightly worried about your friend. We welcome you to the endoscopic clinic "La Vita" on Kongresi i Manastirit street, near the pediatric hospital
Sent by Albana Duni, më 24 February 2014 në 12:58
Hello my Albania! This diagnosis is a stomach tumor. The stage of the tumor must be determined to define the therapy strategy
Sent by Albana Duni, më 24 February 2014 në 13:03
Hello, Dr. Albana. Congratulations on your work. I am a 38-year-old mother, and lately, I haven't been feeling well; I've been experiencing leg cramps. When I sit down for a while and then get up, it's painful. But I've been really worried because I've had a lot of stomach pain, almost like I was about to give birth. I went and had an ultrasound done, and they found a small stone that had slipped into the urinary tract. I received medication. Yesterday, I was struck by a severe stomach ache and cramping, so much so that I ended up in the hospital. I was given two IVs and two injections. I felt a bit better afterward, but I'm worried that there might be something seriously wrong. Please, I would appreciate a response. With respect, Nevila
Sent by nevila, më 24 July 2014 në 09:53
Hello doctor. I just learned that my father is suffering from stomach cancer. They said it's advanced and has started to metastasize, thought to be involving the lung as well. We found out after my father developed thrombosis in his right leg for which we used Clexane, and it passed after about 3 weeks; around the first month, he developed thrombosis in the other leg. Please reply if it can be prevented with chemotherapy
Sent by edlira hoxha, më 14 December 2014 në 12:45
Dear Edlira! I'm sorry about your father, but it seems that the tumor is in an advanced stage since metastases have appeared. It is known that the earlier the tumor is caught, the more treatable it is. Chemotherapy in this case does not prevent but can only slightly affect life expectancy. You need to talk to the chemotherapy doctors at QSUT to follow the treatment protocols for the stage your father is in
Sent by Albana Duni, më 17 December 2014 në 14:19
Hello, I have lost a lot of weight, and I experience a fainting sensation from the navel, almost losing consciousness. This has been happening since I was 14 years old, and now I am 30, but this fainting has started to happen more frequently, especially in the last 3 years. During these moments, my face becomes very pale, and my lips turn slightly blue. I feel completely exhausted at those times, and I have tested positive for the H. pylori bacteria+++.
Could all this be caused by the H. pylori bacteria, or could there be something else? Thank you
Sent by Xheni, më 16 January 2015 në 08:00
Being positive for Helicobacter antibodies does not mean you are sick, as the antibodies circulating in our blood can be positive even when the Helicobacter has been eradicated. What you need to do is undergo a gastroscopy, which assesses whether the stomach has gastritis, ulcers, etc
Sent by Albana Duni, më 19 January 2015 në 13:59
Hello, Doctor! I just read this information and I thank you because it is very valuable. But after this, I feel the need to give you a summary of what is happening with a family member of mine. My cousin in Italy has been suffering from uncontrollable hunger in the recent months, she was hungry all day and could not be satisfied. A few weeks ago, she was diagnosed with a tumor in her stomach. She underwent surgery, where it was found that 22 cancerous nodes were removed, of these 4 turned out to be malignant and she has started chemotherapy. Four years ago, we lost her sister to the same disease. Indeed, if we make an observation in the previous generations, we do not find anyone with this disease except our common grandfather who in his old age occasionally complained about mild stomach discomfort after eating quickly because he had the habit of eating fast. The question that arises from all this is whether there could be something hereditary that has not appeared in previous generations but has been present as something hidden, or is it just coincidence? And the other question is: Is it necessary for us, who are close to her, to undergo more detailed analyses as a necessity, i.e., do we also have the risk factor? Thank you. Have a good day
Sent by Dorina , më 24 April 2015 në 02:58
Hello Doctor! I just read this information and thank you because it is very valuable. But after this, I feel the need to give you a brief account of what's happening with a family member of mine. My uncle's daughter in Italy has been suffering from uncontrollable hunger for the past few months, she was hungry all day and could not be satisfied. A few weeks ago, she was diagnosed with a stomach tumor. She underwent surgery in which 22 cancerous nodes were removed, of these 4 turned out to be malignant and she has started chemotherapy. Four years ago, we lost her sister to the same disease. Indeed, if we observe the previous generations, no one seems to have had this disease except for our common grandfather who in old age occasionally complained of mild stomach discomfort after eating quickly because he had a habit of eating fast. The question that arises from all this is whether there could be something inherited that has not shown up in previous generations but was present as something hidden, or is it just coincidence? And the other question is: Is it necessary for us who are close to her to undergo more detailed analyses as something essential, i.e., does the possibility of the appearance of this disease exist among us as well? Thank you. Have a good day
Sent by Dorina , më 24 April 2015 në 04:28
Dear Dorina! Stomach cancer has several factors, one of which is family history. This means that individuals with a family history of cancer have a 2-4 times higher risk of developing cancer than those who do not have a family history of stomach cancer. However, not all family members will suffer from this disease. What matters is that the rest of you should follow the protocols for checks with gastroscopy and biopsy of the stomach mucosa to see if there are conditions such as intestinal metaplasia, gastric atrophy, adenomatous polyps, which are pre-cancerous conditions. Around the world, there are some blood tests related to DNA that should be done by individuals who have relatives with stomach cancer. By following the checks, other family members are normally considered saved because this increases the chance of early detection of cancer, and that is the goal: early detection, since the tumor is curable when caught early. Given that another sister died from the same disease, it means that family inheritance plays a role in this story. As for previous generations, many diagnoses were not discovered, and the person died without knowing the true cause. I hope there is a chance of survival for your cousin. This is if the tumor has spread only locally without giving metastases!
Sent by Albana Duni, më 02 May 2015 në 14:08
Hello Albana! Lately, I have started to choke a lot during eating, even when drinking water I have to drink it slowly and with pauses because I easily choke. And often, I feel like I can’t get enough air when breathing. Is this something to worry about? Thank you
Sent by Ana, më 24 September 2015 në 16:27
It deserves to be greeted and congratulated with all these explanations so valuable for all of us who read them. Congratulations and success in your profession, I emphasize your human aspect. Respect
Sent by drita sala, më 13 December 2016 në 18:18
Thank you, honored lady!
Replay from Dr. Albana Duni, më 14 December 2016 në 02:08
A loved one of mine has undergone stomach surgery and 3/4 of it was removed. They have been diagnosed with poorly differentiated adenocarcinoma. After the surgery, they have 2 abscesses, if I understand correctly, but I was told that both of these have metastases. My question is simple and painful at the same time: Will they live, and if so, what is their life expectancy? They are 57 years old. If possible, I would like an answer. I believe I have tried to explain myself clearly. Thank you
Sent by Hyrie Hoxha, më 18 January 2017 në 14:01
Hello, madam! We need to know where the metastases are, in the liver? Has she undergone chemotherapy cycles? If it is certain that they are metastases, the life expectancy can range from 6 months to 18 months. I believe you have been referred to the oncologist at QSUT to help with medications
Replay from Dr. Shk. Albana Duni, më 18 January 2017 në 14:13
Greetings, doctor. My mother has malignant tumor and it first appeared on her skin as a mole type and was treated. After a year, my mother developed a gland at the groin area which was unnoticed but it spread throughout the lower abdomen and again we did surgery 4 months ago. She underwent three chemotherapy sessions, and now again, other glands have appeared on her breast and neck. Please, how can my mother be rid of this disease and with what?
Sent by Xhulia, më 07 February 2017 në 06:32
Hello! You need to talk about this with a dermatologist who deals better with these kinds of tumors. All the best
Replay from Dr. Shk. Albana Duni, më 07 February 2017 në 06:38
Hello doctor, I just had an endoscopic visit because I had some swelling in my stomach. During the examination, I was told to have a CT scan of the abdomen with contrast because they found a 10 cm lesion in the posterior compartment. What could it be?
Sent by luan, më 07 February 2017 në 08:27
I cannot tell you anything more, sir, otherwise I would be mistaken
Replay from Dr. Shk. Albana Duni, më 07 February 2017 në 10:04
Hello, thank you for the service you provide. I would like to ask a question. My father is paralyzed, he had a thrombosis about 4 years ago, and now, about a week ago, he got a blood clot in his stomach. Whatever he eats he vomits out, he can barely tolerate some tea or something small, but mostly he vomits. Please, how long can a person live like this? I should mention he is 72 years old... The doctors have stopped his medication, saying only liquids, whatever he can keep down. Thank you
Sent by Zoe, më 12 March 2017 në 08:13
It would be better for the father to be hospitalized because it is not possible to be cared for at home in such a critical situation
Replay from Dr. Shk. Albana Duni, më 13 March 2017 në 06:45
Hello, I am Eva from Germany. The problem is that my husband has developed a tumor at the entrance of his stomach, and they are saying here that it is a leiomyoma, which is a benign tumor. But now they say it has grown a bit. Is it possible for this tumor to grow, and how dangerous is it? Because my husband will have the tumor removed along with a part of his stomach. Thank you
Sent by Etleva, më 15 March 2017 në 14:51
Yes, a leiomyoma is a benign tumor and does not threaten the person's life. Since the tumor in your husband's case obstructs the entrance of food into the stomach, it must be operated on because it significantly affects the quality of life. Therefore, you should be calm about this. Wishing you all the best
Replay from Dr. Shk. Albana Duni, më 15 March 2017 në 15:05
Hello Doctor!
I had a duodenal ulcer two years ago and was HP positive, which my father also had. I was treated and healed the ulcer within a year with antibiotics and a diet, but today I have some stomach concerns; sometimes after defecation, bubbles form and create a white line. What does this mean, could I have another problem, or do I have an ulcer again?
Sorry for the worry
Sent by Aurela, më 29 March 2017 në 15:08
Ulcers heal but it's possible that symptoms may persist from time to time. This means that you should be treated for as long as you have discomfort, since the diagnosis is known at the moment. As for changes in defecation, this does not constitute any sign or symptom.
All the best
Replay from Dr. Shk. Albana Duni, më 30 March 2017 në 01:49
I am a man in my 40s and I have burning in the colon, this happened to me 2 days ago. I want to emphasize that on the outside, at the end of the colon, a lump has appeared and at this moment I have burning. Please tell me what it is and if it is treatable. From Athens... Thank you for your answer
Sent by iliaz, më 02 April 2017 në 05:28
This is a problem of the anus, it could be hemorrhoids or an anal fissure, but you should consult with a proctologist or gastro-hepatologist to be more accurate
Replay from Dr. Shk. Albana Duni, më 04 April 2017 në 15:14
I wanted to know if the abdominal ultrasound shows the ulcer or stomach cancer
Sent by roni, më 04 May 2017 në 07:24
Hello! An abdominal ultrasound is an examination specifically valuable for solid organs such as the liver, kidneys, pancreas, spleen, and its pathways, the urinary bladder, and the prostate. For organs like the stomach and intestines, ultrasound does not have diagnostic value. It can only indirectly assess the stomach, for example, if it detects a thickening of the stomach walls, which is a suspicious sign of a tumor. However, in medicine, we cannot rely solely on suspicion, therefore we confirm cases of ulcers or tumors only through gastroscopy. Gastroscopy not only confirms the diagnosis but also takes a sample for culture, which can help us in determining the strategy for treating gastritis, ulcers, or tumors
Replay from Dr. Shk. Albana Duni, më 04 May 2017 në 10:44
Hello! A year ago, I had an ultrasound and I only had a slightly irritated colon and my blood and urine tests were normal. A week ago, I had an abdominal ultrasound and all organs were fine except for a moment the doctor kept the ultrasound probe on my stomach area and told me he saw some thickening of the walls. After 5 minutes, he gave me water to drink to check again and after drinking the water, he did it again and told me it was no problem. I asked if I needed to take any action since I was scared the first time, and he said no problem, just check for bacteria but no problem, I saw some thickening of the walls but I followed it up completely and it's okay. Please, I am dying of worry, tell me! I am 26 years old
Sent by Jetmira, më 11 June 2017 në 11:09
Then straight to the point: An ultrasound does not provide accurate information about the stomach, it can only suspect, but since the doctor has eliminated the suspicion by doing the ultrasound after drinking water, there is no need to worry. If you have concerns such as pain, burning, nausea, vomiting, anorexia, you should check the stomach with a gastroscopy
Replay from Dr. Shk. Albana Duni, më 11 June 2017 në 15:27
My husband suffers from diffuse large B-cell lymphoma, please how long can one live with this disease? He has stomach, chest, throat pain, can it be cured? Please, an answer
Sent by sara, më 03 November 2017 në 14:16
Hello! You want to know about what in medicine is called: Prognosis or survival. This depends on several factors and perhaps my answer may not be as accurate as the answer of the doctors who have treated it. Because survival is influenced by the person's history, type, stage, and characteristics of the tumor, treatment, and response to treatment. People under 60 show better survival
Replay from Dr. Shk. Albana Duni, më 06 November 2017 në 06:18
Hello, my father is sick from lymphoma, he has taken two doses of chemotherapy. Please, is there a cure for my father? Thank you
Sent by ela, më 13 November 2017 në 07:13
Hello! We need to know if it is gastric lymphoma and its type since survival varies. For example, MALT lymphoma is cured by treatment for Helicobacter and with chemotherapy
Replay from Dr. Shk. Albana Duni, më 13 November 2017 në 07:28
Hello! Seven years ago, I underwent a fibrogastroscopy, which showed I had an ulcer, inflamed esophagus, and hiatal hernia. I have taken medication during periods when my symptoms worsened, but besides these, in 2014, my blood tests showed a bilirubin level of 1.3. I consulted with a doctor, who simply said we'd monitor the level, however, it kept increasing, and by July 2017, the total bilirubin was 2.3. Both the direct and indirect measurements were above normal. The doctor requested tests for hepatitis B and C, which came back negative. I still feel stomach discomfort, severe burning pain. Please, could you explain a bit about what it is and, most importantly, what should I do?
Sent by Ermira, më 17 November 2017 në 23:40
Hello! If the indirect bilirubin is elevated, this indicates that you belong to the part of the population that has congenital hyperbilirubinemia. However, this is not a disease. This increase varies from time to time under the influence of physical activity, viral infections, etc., but it does not affect the organism anyway. As for the stomach, bilirubin is not related. Stomach complaints are related to the diagnosis you received since the situations repeat. Since it has been 7 years without checking the condition with a gastroscopy, it makes sense to check it again and get the proper medication. All the best
Replay from Dr. Shk. Albana Duni, më 18 November 2017 në 02:15
Hello Doctor, I am concerned about my brother, he is 39 years old and a month ago he had frequent vomiting, up to 15-20 times in 24 hours, dizziness, and loss of balance. We took him to a gastroenterologist who examined him with ultrasound and palpation and said it was gastritis. We did the tests and they came out very well. Out of concern, we also consulted an ENT doctor suspecting a middle ear problem due to his loss of balance, who recommended a CT scan, which we did and it also came out very well. After taking medication with Vertiplex + Malox + Omeprazole, he was almost a month without any problems, but now the same thing has repeated in a more severe form with vomiting dark brown 18 times in 24 hours, emphasizing the last 4 vomits were dark brown, the first ones were of normal color. We sent him to the ER at QSUT, they did another head CT scan, complete blood count + stomach ultrasound, and everything came out well. In the end, we did a gastric endoscopy and found many small polyps from the esophagus to the stomach. The doctor told us the esophageal polyps are new because they are very small, while those lower down in the stomach are much older or congenital, but this has worried us a lot. We took material for a biopsy and it's delayed about 3 weeks, the doctors said. Out of concern, I want to ask you as a specialist in this field if there is a bad prognosis. My brother has no pain, whether on touch or even when sitting idle, so to say, the vomiting has recurred for about 3 months continuously and only lasts 24 hours, then you'd say there's nothing wrong for a month straight when he takes, for example, Malox + Omeprazole. And do the tests tend to come out well when something serious or bad is suspected? Thank you, I seek information as soon as possible please since the doctors say that we should start from his age and that he will get over it
Sent by Florenc , më 24 November 2017 në 12:55
Hello! We cannot judge if we do not have the biopsy answer; it determines everything
Replay from Dr. Shk. Albana Duni, më 24 November 2017 në 13:00
Hello doctor. My name is Fatjona. My mother is 57 years old and has been diagnosed with stomach cancer, but it has also affected the esophagus and slightly the liver. Please tell me, can my mother be cured? How long can she live? If she is cured, is there a possibility of it coming back? Please give me an answer, thank you
Sent by Fatjona, më 25 November 2017 në 07:37
Dear Fatjona! With what you are saying, unfortunately, it seems that the tumor is at an advanced stage and in this case, there is no talk of a cure. It's only about life expectancy, and you need to talk to oncologists who will determine the chemotherapy
Replay from Dr. Shk. Albana Duni, më 26 November 2017 në 13:00
Hello doctor, I wanted to ask something. My mother is 60 years old and has cancer in the esophagus, right in the middle, and now it has also spread to the liver. The doctors have suggested surgery but said the chances of survival were very small, so we didn't go through with it. What do you think now, is it too late for surgery or is there a chance for improvement or not? Please give me an answer, best regards
Sent by Lina, më 28 November 2017 në 23:37
Hello! From what you're telling me, it seems we're dealing with an advanced-stage tumor since it has spread to the liver. Now, surgery is hopeless, but chemotherapy might help us. The situation seems severe. All the best
Replay from Dr. Shk. Albana Duni, më 09 December 2017 në 05:13
Hello
I have a brother who has been diagnosed with malignant lymphoma. What are the chances of recovery???He is 9 years old?
Sent by Egzona Brahaj, më 15 December 2017 në 16:55
Hello! It's not correct for the doctor to respond based only on a family member's statement, but to be professional, all examinations supporting the diagnosis you mention must be considered. Malignant lymphomas of the digestive tract in children are rare. If discovered early, there is a possibility for treatment. I cannot answer you more. All the best
Replay from Dr. Shk. Albana Duni, më 18 December 2017 në 02:38
Hello ..I have a question. I have a husband who every 3 months vomits but vomits for about two hours straight and then says he is fine..I don't know, he suffers from hepatitis B but does not take medication because he is well...it could be that he is sensitive to foods or it could be something else..thanks in advance for the answer
Sent by Eduana, më 09 June 2018 në 08:26
Vomiting can come from many reasons, one possibility is that the cause is related to the stomach and the only way to confirm it is gastroscopy.
All the best
Replay from Dr. Shk. Albana Duni, më 09 June 2018 në 13:21
HELLO DOCTOR PLEASE HELP ME.....I HAVE BEEN HAVING A STOMACH PROBLEM FOR THREE MONTHS LIKE PAIN, VOMITING, FREQUENT BURPING, BURNING SENSATION BUT IT COMES AND GOES AND I HAD A STOMACH ISSUE BEFORE BUT IT WENT AWAY,,,I DID A CT SCAN BUT NOTHING SHOWED UP BUT I AM AFRAID TO DO THAT ENDOSCOPY,,,BUT I ALSO HAVE ANXIETY I AM SCARED I HAVE HEART PALPITATIONS,,,,
Sent by ema, më 21 June 2018 në 18:57
Ema, feeling fear and heart palpitations is human. The scanner is not useful for these worries you have, but what is needed is the probe, meaning gastroscopy, which is done in completely comfortable conditions.
All the best
Replay from Dr. Shk. Albana Duni, më 27 June 2018 në 07:42
Hello, excuse me... I had a scan 3 months ago and it showed my stomach was fine, the scan showed nothing wrong. But now I'm coughing up black phlegm, could this be a recurrence of a tumor? This disease is for a 60-year-old woman..
Sent by Dritan, më 01 November 2018 në 19:14
Hello! My grandmother has a malignant tumor in her stomach...the doctors said that it is in an advanced stage...but it has only affected the stomach...she is 72 years old and they say that she is too old and cannot handle chemotherapy or surgery... please tell me is there any hope?? if not...how long can she live? thank you
Sent by klodiana, më 23 July 2019 në 06:00
Hello! The doctors who have seen it know the situation better, but we must rely on the Scanner to say how advanced it is. If there are no other diseases in the mother and if there is no spreading of the tumor outside the stomach, we cannot deny her either surgery or chemotherapy
Replay from Dr. Shk. Albana Duni, më 23 July 2019 në 09:00
Hello! The doctors who have seen it know the situation better, but we need to rely on the Scanner to say how advanced it is. If there are no other diseases in the mother and if there is no spread of the tumor outside the stomach, we cannot deny her either surgery or chemotherapy
Replay from Dr. Shk. Albana Duni, më 23 July 2019 në 09:00
Hello doctor, I wanted to ask for your opinion about a problem I have. It's been roughly 4 years since I had a gastroscopy and was diagnosed with Helicobacter pylori. The doctor prescribed a therapy with three antibiotics and the bacteria disappeared. However, afterwards I started having issues with my esophagus and underwent a 4-month therapy. During the therapy, I felt better but then the discomforts started again. A year ago, I went to the doctor and had another gastroscopy along with a biopsy. They told me that I have (intestinal metaplasia) and the doctor said that this disease is very rare and no therapy has been found. But I will have a gastroscopy after 3 years because this disease can turn into cancer. Please let me know if there might be something I can do about this problem. I'm afraid that something might happen in the 3 years until the next checkup and I won't be able to do anything. I await your response. Thank you. I forgot to mention that my father also had a stomach ulcer and later developed a tumor. He underwent surgery and now he is fine. They removed part of his stomach along with the tumor. It's been 6 years
Sent by Linda, më 04 February 2020 në 15:25
Hello! Intestinal metaplasia is a precancerous condition, but if regular follow-up with a biopsy every 2 years is done, this means that you have the situation under control and are considered saved. Of course, an experienced endoscopist and histopathologist are needed. The biopsy shows the degree of dysplasia, i.e., the changes that have occurred in the mucosa. If the dysplasia is high-grade, then mucosal resection with endoscopy (a procedure done abroad) must be performed and after this, you will still be in a follow-up protocol. The purpose of medicine is to discover such situations before they become cancer and to follow them regularly, in this way the person is saved from cancer. Even when cancer is discovered at an early stage and is operated on and treated according to protocols, the person is still saved. Therefore, live healthily, remove stress, get checked, and enjoy life!
Replay from Dr. Shk. Albana Duni, më 04 February 2020 në 15:56
Hello,
A friend of mine, after having stomach concerns, went and was examined at the hospital. The doctors suspected an ulcer and performed a biopsy. The biopsy result came out as poorly differentiated Adenocarcinoma G3. The patient in question is 44 years old. Please explain how we should proceed? Should she undergo surgery immediately? From the endoscopy, it doesn't seem to have affected or spread to other areas.
Thank you
Sent by Dean, më 15 February 2020 në 02:59
Biopsy is what makes the accurate diagnosis, so it's a malignant stomach tumor and your path should start with oncologic surgery followed by chemotherapy. If there's no spread, this is in favor of the patient because it shows that we are in time
Replay from Dr. Shk. Albana Duni, më 15 February 2020 në 04:11
Hello,
A friend of mine, after having stomach concerns, went and got checked at the hospital. The doctors suspected an ulcer and performed a biopsy. The biopsy results came back as poorly differentiated adenocarcinoma G3. The patient in question is 44 years old. Please explain how we should proceed? Should she undergo surgery immediately? From the endoscopy, it does not seem to have affected or spread to other areas.
Thank you
Sent by Dean, më 15 February 2020 në 09:37
Doctor, I have severe stomach pain, I feel nauseous when I see food and I don't eat it, but I start to burp. However, I must say that two years ago I had Helicobacter pylori and I took the medications and I got better. Please, I am waiting for your response
Sent by Ermira Dule, më 25 May 2020 në 02:15
Hello! Stomach pains can come from many pathologies: ulcers, gastritis, bowel problems, etc. Therefore, you need to undergo a series of tests starting with an abdominal ultrasound and then a gastroscopy.
All the best
Replay from Dr. Shk. Albana Duni, më 12 June 2020 në 06:09
Hello! Stomach pains can come from many pathologies: ulcers, gastritis, intestinal problems, etc. Therefore, you need to undergo a series of tests starting with an abdominal ultrasound and then a gastroscopy.
All the best
Replay from Dr. Shk. Albana Duni, më 12 June 2020 në 06:09
Hello Doctor!
About a year ago, I had gastritis and started a treatment which I did not finish, as it was causing me issues due to the iron I was taking for anemia. Then, I was treated abroad with iron intravenously and it has been 6 months and my health was very good. Until about 2-3 weeks ago, I had vomiting but it was a period of stress and I thought it was caused by that. Now, for about a week, I can only eat
Once a day I feel nauseous all the time, I have a bit of diarrhea and I find all food disgusting. Although I am hungry, I cannot eat
Sent by Alb, më 15 June 2020 në 02:28
Hello! I don't think about medication, but I think you should be examined: gastroscopy, colonoscopy, and blood tests
Replay from Dr. Shk. Albana Duni, më 15 June 2020 në 10:30