Sinais e sintomas do câncer de estômago

O câncer de estômago também é chamado de câncer gástrico. O tipo adenocarcinoma é responsável por cerca de 95% dos casos de tumor do estômago. 

Outros tipos de tumores, como linfomas e sarcomas, também podem ocorrer no estômago. Os linfomas são diagnosticados em cerca de 3% dos casos. Sarcomas são tumores raros, iniciados nos tecidos que dão origem a músculos, ossos e cartilagens. Um tipo que pode afetar o estômago é o tumor estromal gastrointestinal, mais conhecido como GIST. 

O adenocarcinoma de estômago atinge, em sua maioria, homens por volta dos 60-70 anos. Cerca de 65% dos pacientes têm mais de 50 anos. 

No Brasil, o câncer de estômago é o terceiro tipo mais frequente entre homens e o quinto entre as mulheres.

O QUE AUMENTA O RISCO?

  • Excesso de peso e obesidade
  • Consumo de álcool
  • Consumo excessivo de sal, alimentos salgados ou conservados no sal
  • Tabagismo
  • Ingestão de água proveniente de poços com alta concentração de nitrato
  • Doenças pré-existentes, como anemia perniciosa, lesões pré-cancerosas (como gastrite atrófica e metaplasia intestinal) e infecções pela bactéria Helicobacter pylori (H. pylori)
  • Combinação de tabagismo com bebidas alcoólicas ou com cirurgia anterior do estômago
  • Exposição ocupacional à radiação ionizante, como raios X e gama, em indústrias ou em instituições médicas
  • Exposição de trabalhadores rurais a uma série de compostos químicos, em especial agrotóxicos
  • Exposição ocupacional, na produção da borracha, a vários compostos químicos, muitos classificados como reconhecidamente cancerígenos, como benzeno, óleos minerais, produtos de alcatrão de hulha, compostos de zinco e uma série de pigmentos
  • Ter parentes de primeiro grau com câncer de estômago

SINAIS E SINTOMAS

Não há sintomas específicos do câncer de estômago. Porém, alguns sinais, como perda de peso e de apetite, fadiga, sensação de estômago cheio, vômitos, náuseas e desconforto abdominal persistente podem indicar tanto uma doença benigna (úlcera, gastrite, etc.) como um tumor de estômago. Durante o exame físico, o paciente com câncer pode sentir dor no momento em que o estômago é palpado.

Sangramentos gástricos são incomuns no câncer de estômago, entretanto, o vômito com sangue ocorre em cerca de 10% a 15% dos casos. Também podem surgir sangue nas fezes, fezes escurecidas, pastosas e com odor muito forte (indicativo de sangue digerido).
 
Massa palpável na parte superior do abdômen, aumento do tamanho do fígado e presença de íngua na área inferior esquerda do pescoço e nódulos ao redor do umbigo indicam estágio avançado da doença.

Fonte: INCA
 

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