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These studies suggest that signs of stomach cancer in women can include gastrointestinal symptoms, persistent severe pain, and potential metastasis from breast cancer, with early detection being crucial for better outcomes.
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Stomach cancer, also known as gastric cancer, often presents with a variety of symptoms that can be easily mistaken for less serious conditions. Common symptoms include a feeling of fullness, decreased appetite, and gastrointestinal bleeding, which may manifest as melena (black, tarry stools) or hematemesis (vomiting blood). Additionally, women may experience epigastric pain, which is pain located in the upper abdomen, and this pain can be similar to that caused by benign gastric ulcers.
Stomach cancer can sometimes present in unusual ways, making diagnosis challenging. For instance, distant metastasis can be the primary presentation, and in rare cases, stomach cancer can present as portal vein thrombosis (PVT). Another unusual presentation includes symptoms that mimic other conditions, such as low back pain and breast pain, which can be mistaken for primary inflammatory breast carcinoma.
Gastric cancer during pregnancy is extremely rare, but it can occur. Symptoms such as abdominal pain, nausea, vomiting, and loss of appetite are common during pregnancy and can also be the only symptoms of stomach cancer until it reaches an advanced stage. This overlap in symptoms often leads to delayed diagnosis and poor outcomes, as seen in a case where a pregnant woman with advanced gastric cancer died shortly after an emergency cesarean delivery.
Breast cancer metastasis to the stomach can mimic primary gastric cancer, making it difficult to distinguish between the two based on clinical, endoscopic, radiological, and histopathological features. Symptoms of gastric metastasis from breast cancer include nausea, vomiting, dysphagia (difficulty swallowing), epigastric pain, and melena. It is crucial for clinicians to consider a history of breast cancer when diagnosing new gastrointestinal symptoms to avoid misdiagnosis.
Several risk factors are associated with the development of stomach cancer. Helicobacter pylori infection is a significant risk factor, along with smoking, high salt intake, and certain dietary habits. The incidence of stomach cancer is higher in non-Western immigrant women compared to non-immigrant women, with higher rates of both incidence and mortality.
Stomach cancer in women can present with a range of symptoms, from common gastrointestinal issues to more unusual presentations that mimic other conditions. Awareness of these symptoms and risk factors is crucial for early diagnosis and treatment. Clinicians should maintain a high index of suspicion, especially in patients with a history of breast cancer or those presenting with persistent, unexplained symptoms. Early detection and appropriate management can significantly improve outcomes for women with stomach cancer.
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