Gastrointestinal Cancer
- The 25 foot long gastrointestinal (GI) tract
runs from the mouth to the
anus. Everything you consume goes via the esophagus and then breaks
down to extract nutrients in the stomach and small intestine. In the end,
the colon and rectum are responsible for eliminating waste from your
body.
When a mutation in the DNA occurs, the abnormal
growth of cells is
observed which may result into an occasional growth of tumor in any
one of these organs. Anything from underlying diseases to lifestyle
decisions to genetics could be the cause.
Gastrointestinal cancer is a frequent disease.
Early Cancer detection,
which sometimes is sadly difficult and crucial for effective treatment. Dr.
Sanjay Sharma, the best gastrointestinal cancer doctor in Mumbai,is an expert in this
field of study and can assist in early detection as well
as efficient treatment.
Symptoms
- There might be no visible symptoms in the early
stages of GI cancer.
Additionally, it is quite difficult to fell GI tumors as they grow.
As a result, examinations for GI malignancies
frequently detect the
disease before any symptoms appear. Or they are discovered after they
have progressed to the point where they are causing symptoms at a
more severe level.
Causes
- When the cells lining one or more of the
digestive tract’s organs mutate
and start to grow, tumors are produced and the tumors can occasionally
migrate to the lymph nodes and other organs.
The exact cause of GI cancer is still unclear to
medical professionals.
However, cell damage which can result from infections, obesity, smoking
and some environmental risk factors, increases the likelihood that
abnormalities will emerge.
Types of Gastrointestinal cancer and the risk factors
The most common types of gastrointestinal cancers are as follows:
-
Esophageal cancer:It is a cancer that occurs in the tissues of
esophagus, a long muscular tube that moves from your throat to
your stomach.
- Gastric (stomach) cancer:The growth of cancer cells is
observed in the inner lining of your stomach. As the cancer
progresses, they then penetrate your stomach walls further.
- Colorectal cancer:Colorectal cancer consists of both the cancers
of colon as well as rectum, depending on their origin.
- Pancreatic cancer:When the pancreas cells undergo mutations,
the uncontrolled growth of those cells results in pancreatic cancer.
The tissue might become a bulk. This tumor may occasionally be
benign. However, the mass in pancreatic cancer is malignant.
- Liver cancer:
One of the cancer forms with the quickest rate of
growth. The two types of liver cancers are Primary and Secondary
liver cancers. Liver is the site of primary cancer.
- Other types, which are less common are: Neuroendocrine tumors,
gastrointestinal stromal tumors and anal cancer.
- Men are more likely to get gastrointestinal
cancers than women and
the risk rises with age. These malignancies have been connected in
studies to alcoholism, cigarette smoking and poor diets.
- Additionally, specific underlying diseases can cause tumor. These
can be:
-
Hepatitis B or C infection
- Cirrhosis in the liver
- Helicobacter pylori infection in the stomach
- Gastroesophageal reflux disease
- Smoking
- Gastritis
- Obesity
- Previous polyps growing in colon or stomach
- Only a small portion of gastrointestinal cancers
are hereditary.
Diagnosis
- Appearance of any kind of symptoms that might
indicate the presence
of gastrointestinal cancer can be confirmed by performing following
tests: -
-
Endoscopy or esophagogastroduodenoscopy (EGD):This is
helpful in checking the lining of the esophagus, stomach and small intestine for tumors.
- Colonoscopy:To check for polyps in colon and rectum that can
develop into cancer.
- Lab Tests:Change in any blood related components that could be
signs of cancer
- Imaging Studies (MRI, X-RAY, CT SCAN or PET SCAN):Check the presence of any abnormal
tissue growth in the GI tract.
Performing an endoscopic ultrasound (EUS) might be necessary.
This procedure consists of a thin tube connected with a light, camera
and ultrasound probe, which is inserted into the patient’s mouth,
down their throat and into the stomach. Emission of sound waves
through the probe, produces an image of the tissues of the stomach
and surrounding tissues.
- Biopsy:A biopsy is done to procure a sample of abnormal tissue
and then analyzing it for the presence of cancer cells. Collection of
samples is usually done during an endoscopy. The procured sample
is then examined by the pathologists under a microscope to check for
the presence of cancer.
Treatment
- Surgery is considered as the best option when
the tumor is
accessible.
- Chemotherapy, radiation therapy or targeted
therapy can be also be
used first when it is more difficult to treat or when removal would
adversely affect gastrointestinal function. Targeted treatment (specific
to components of cancer cells) or immunotherapy (drugs that restrict
or activate the patient’s immune system to help it more effectively
fight cancer) may be used to treat several forms of gastrointestinal
tumors.
- Entire tumor along with the nearby tissues is
removed during the
surgery. A surgery termed anastomosis may be used to join the
remaining healthy sections of the esophagus in order to restore the
function. Some patients with liver cancer might be candidates for
transplantation
- Gastrointestinal cancer specialist in
Mumbai, Dr. Sanjay Sharma with his experience may choose to treat symptoms rather than
the
actual disease in cases of extremely advanced gastrointestinal
cancer that cannot be properly treated.