Is adenocarcinoma cancer curable?

Question

Hello doctor,

A 42-year-old married woman has been suffering from abdominal pain for the past two years. Her biopsy report suggested a poorly cohesive adenocarcinoma. May I know her cancer stage, the best treatment plan, and her survival rate?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I have seen your endoscopy and biopsy reports (the attachments removed to protect the patient's identity) and based on that it appears to be cancer of the body part of the stomach (food storage organ).

I suggest you do a PET scan.

If a PET scan is suggestive of a nonmetastatic disease (does not spread to other sites) then staging laparoscopy (to see inside the abdomen by scope with a small hole) is advisable to make sure that it is nonmetastatic because, in 15 % of cases, even PET scan can miss metastasis.

After that chemotherapy is advisable to reduce the disease burden. based on evidence, 4 cycles of chemotherapy followed by surgery (distal radical Gastrectomy) and again 4 cycles of chemotherapy complete the full treatment. This is the whole process. If it is nonmetastatic then a cure is possible.

I hope this will help you.

Let me know if you want to know anything else.

All the best.

Thanks and regards.