Signs and symptoms of Gastroesophageal junction cancer and stomach cancer may include:

If you have signs and symptoms that worry you, make an appointment with your doctor. Your doctor will likely investigate more common causes of these signs and symptoms first.

Tests and procedures used to diagnose Gastroesophageal junction cancer and stomach cancer include:

Determining the extent (stage) of stomach cancer
The stage of your stomach cancer helps your doctor decide which treatments may be best for you. Tests and procedures used to determine the stage of cancer include:

The stages of adenocarcinoma of the stomach or esophagus include:

In cancer care, different types of doctors often work together to create a patient’s overall treatment plan that combines different types of treatments. This is called a multidisciplinary team. For stomach cancer, this team may include the following doctors:

Surgery

Surgery is the removal of the tumor and some surrounding healthy tissue during an operation. The type of surgery used depends on the stage of cancer.

Radiation therapy

Radiation therapy is the use of high-energy x-rays or other particles to destroy cancer cells. A radiation therapy regimen, or schedule, usually consists of a specific number of treatments given over a set period of time. People with stomach cancer usually receive external-beam radiation therapy, which is radiation given from a machine outside the body. Radiation therapy may be used before surgery to shrink the size of the tumor or after surgery to destroy any remaining cancer cells.

Therapies using medication

Systemic therapy is the use of medication to destroy cancer cells. This type of medication is given through the bloodstream to reach cancer cells throughout the body.

Common ways to give systemic therapies include an intravenous (IV) tube placed into a vein using a needle or in a pill or capsule that is swallowed (orally).

The types of systemic therapies used for stomach cancer include:

Care for people diagnosed with cancer does not end when active treatment has finished. Your health care team will continue to check that cancer has not come back, manage any side effects, and monitor your overall health. This is called follow-up care.

Your follow-up care may include regular physical examinations, medical tests, or both. Doctors want to keep track of your recovery in the months and years ahead. People who have had their entire stomach removed can feed themselves, but it is important for them to re-learn how to eat after this major surgery. Talk to your doctor about this type of rehabilitation.

Watching for recurrence

A goal of follow-up care is to check for a recurrence, which means that cancer has come back. Cancer recurs because small areas of cancer cells may remain undetected in the body. Over time, these cells may increase in number until they show up on test results or cause signs or symptoms. During follow-up care, a doctor familiar with your medical history can give you personalized information about your risk of recurrence. Your doctor will ask specific questions about your health. Some people may have blood tests or imaging tests done as part of regular follow-up care, but testing recommendations depend on several factors, including the type and stage of cancer originally diagnosed and the types of treatment given.

Managing long-term and late side effects

Most people expect to experience side effects when receiving treatment. However, it is often surprising to survivors that some side effects may linger beyond the treatment period. These are called long-term side effects. Other side effects called late effects may develop months or even years afterward. Long-term and late effects can include both physical and emotional changes.

Talk with your doctor about your risk of developing such side effects based on the type of cancer, your individual treatment plan, and your overall health.

Keeping personal health records

You and your doctor should work together to develop a personalized follow-up care plan. Be sure to discuss any concerns you have about your future physical or emotional health.

Some survivors continue to see their oncologist, while others transition back to the care of their family doctor or another health care professional. This decision depends on several factors, including the type and stage of cancer, side effects, health insurance rules, and your personal preferences.

If a doctor who was not directly involved in your cancer care will lead your follow-up care, be sure to share your cancer treatment summary and survivorship care plan forms with him or her and with all future health care providers. Details about your cancer treatment are very valuable to the health care professionals who will care for you throughout your lifetime.

Stomach cancer mostly affects older people. The average age of people when they are diagnosed is 68.  About 6 of every 10 people diagnosed with stomach cancer each year are 65 or older. The risk that a man will develop stomach cancer in his lifetime is about 1 in 95.  For women, the chance is about 1 in 154. But each person’s risk can be affected by certain other factors.

Stomach cancer is the fourth most commonly occurring cancer in men and the seventh most commonly occurring cancer in women. There were over 1 million new cases in 2018. The top 20 countries with the highest rates of stomach cancer in 2018.

This year, an estimated 27,510 (17,230 men and 10,280 women) in the United States will be diagnosed with stomach cancer.

It is estimated that 11,140 deaths (6,800 men and 4,340 women) from this disease will occur this year.

If the cancer is diagnosed and treated before it has spread outside the stomach, the 5-year survival rate is 68%. If cancer has spread to surrounding tissues or organs and/or the regional lymph nodes, the 5-year survival rate is 31%. If cancer has spread to a distant part of the body, the 5-year survival rate is 5%.