Malignant and benign stomach tumors (Part one)
In our body, healthy cells grow and divide in an orderly way. This process is controlled by DNA, which is a genetic material containing instructions for every chemical process in our body. Some DNA genes promote cell division, others slow it down or program cells to die at the right time. While other genes control processes that help repair DNA.
When DNA is damaged these genes do not function correctly, causing cell growth out of control and eventually form a tumor- a malignant mass. Although the causes of many types of cancers are not fully understood, research has made real progress in determining the factors that destroy the DNA of stomach cells and how these damages lead to cancer.
What causes stomach cancer?
Infection by Helicobacter Pylori (H P) About 2/3 of the world's population is infected with such a bacterium that lives deep in the mucosal layers of the stomach. It is thought that this bacterium spreads from person to person, through the fecal-oral route, or through contaminated water. Infection by HP often occurs in childhood and can last a lifetime if not treated.
Now, HP infection is recognized as the main cause of stomach ulcers, in about 80% of cases but can also be the main cause of stomach cancer. According to the World Health Organization, half of the new annual cases of stomach cancer are attributed to infection by Helicobacter Pylori. Having an ulcer does not necessarily put you at a high risk for stomach cancer, but having an infection with Helicobacter Pylori, does.
This happens because prolonged infection causes cellular inflammation which leads to precancerous changes in the stomach. One of these changes is atrophic gastritis, a condition in which acid-producing cells are destroyed. It is thought that low acid levels prevent cancer-causing toxins through their destruction or expulsion from the stomach.
Nitrates and nitrites These are natural chemical compounds that appear when bacteria break down nitrogen. Nitrates are used in many meat processing procedures. In our stomach, many bacteria, including HP, convert nitrates to nitrites, another nitrogenous chemical base. Nitrites are used in some meat-containing foods like hamburgers, bacon.
Nitrites combine with other nitrogen-containing substances to form N-nitroso compounds in the stomach, which are powerful carcinogens and are known as causes of stomach cancer.
Tobacco and alcohol abuse Together, they irritate the stomach and can cause cancer of the upper part of the stomach to the esophagus.
Smoked, pickled, and red meat foods Before the invention of the refrigerator, foods were preserved through smoking, salting, or pickling and frying. Preserved foods contain large amounts of nitrites and nitrates, which in our stomach are converted into cancer-causing compounds. Countries where a lot of smoked or pickled meat or fish is consumed, like Japan, have a high risk of stomach cancer. Likewise, a diet high in red meat (veal, beef, lamb) especially used as barbecue, is linked to stomach cancer.
Low socio-economic level It is thought that this is related to the spread rate of HP infection in developing countries.
Signs and symptoms
The common and earliest sign of malignant and benign stomach tumors is microscopic internal bleeding, which is only detected by the fecal occult blood test. If bleeding continues, with the loss of red blood cells, this leads to anemia and the appearance of fatigue.
When cancer is very advanced, signs and symptoms such as:
- Discomfort in the upper and middle region of the abdomen, which cannot be improved by food or antacids. But in the early stages, the pain can be reduced by the effect of antacids and food.
- Abdominal discomfort that worsens after eating.
- Black stools.
- Vomiting blood.
- Vomiting after eating.
- Weakness, tiredness, and weight loss.
- Feeling full after meals, even though eating may be less than usual.
But having one or more of these signs does not mean you have stomach cancer. There are other diseases, such as peptic ulcers, that can cause such signs.
The stomach is like a muscular bag, located in the upper left part of the abdomen, below the ribs. In an average adult age, the stomach has the size of a small pumpkin, but it can stretch from the sides to hold about 1 gallon of food and liquids. When empty, the stomach is contracted in itself and stretches after eating or drinking.
Although the stomach plays a major role in digestion, the actual digestive process begins with the mouth, where saliva begins the breakdown of carbohydrates and fats. From here, food passes into the esophagus, a 25 cm long tube that connects the throat to the stomach. At the end of the esophagus is a muscular valve (lower esophageal sphincter) that relaxes to allow the passage of food into the stomach.
The walls of the stomach are bordered by three strong muscular plates which chop the food into smaller pieces and mix them with enzymes and acid produced by the glands inside the stomach.
Hydrochloric acid is so corrosive that it can etch iron. On the other hand, the delicate tissues of the stomach are protected from this powerful acid by a thin layer of mucus, like gel, that lines the stomach.
As food in the stomach is broken down and mixed, it is the muscular contractions of the stomach that push it towards the pyloric valve, which allows passage to the upper part of the small intestine: the duodenum.
It takes 3-4 hours for the stomach to empty after eating, depending on the diet. Foods high in fat require more time to empty the stomach.
Most stomach tumors originate from glandular cells that line the stomach and these tumors are called adenocarcinomas. Sometimes the tumor can develop from the stomach's lymphatic tissue - lymphoma, or from muscle - sarcoma. About 3% of stomach tumors are carcinoid tumors that originate from hormone-producing cells of the stomach.
Carcinoid tumors metastasize less, while other tumors spread through growth in the stomach, esophagus, and in the small intestine. The tumor can also spread through the walls of the stomach, into the lymph nodes eventually spreading to other organs such as liver, pancreas, intestine, etc.
| Title | Sent by | Date of publication | |
|---|---|---|---|
| • | Hemorroidet (majaselli ) - Diagnoza dhe trajtimi. | Dr. Viktor QERESHNIKU | 02/05/2013 |
| • | Refluksi Gastro-Ezofageal | Dr. Shk. Albana Duni | 06/10/2012 |
| • | Kanceri i pankreasit | Altin CEKODHIMA | 24/11/2013 |
| • | Hemorroidet | Altin CEKODHIMA | 12/02/2012 |
| • | Guret e temthit. | Dr. Rozana Aleksi | 27/08/2012 |
| • | Dhjamosja e thjeshte e melcise | Dr. Shk. Albana Duni | 09/06/2013 |
| • | Melcia e dhjamosur | Altin CEKODHIMA | 25/12/2012 |
| • | Echo-Endoskopi EUS | Altin CEKODHIMA | 24/01/2012 |
| • | Refluksi Gastroezofageal | Altin CEKODHIMA | 24/01/2012 |
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