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Types of Stomach Cancer: Adenocarcinoma, Lymphoma & More

Stomach cancer, also referred to as gastric cancer, is a disease that begins when cancerous cells form in the lining of the stomach. Understanding different types of stomach cancer is essential for early diagnosis, accurate diagnosis, and proper treatment.
In this article, we’ll look closely into the major types, their key characteristics, and how they differ from one another!
Types of stomach cancer
Stomach cancer develops in the abdomen when the cells start to grow abnormally and uncontrollably. This cancer usually progresses through these different layers. A healthcare provider usually determines how far within the stomach wall the cancer has spread as a part of the staging process.
Here are the different types of stomach cancer:
Adenocarcinoma
Adenocarcinoma generally accounts for 90-95% of all stomach cancers in the abdomen. This type of stomach cancer develops in the glandular cells in the stomach lining that generally produce mucus and digestive fluids.
These subtypes may include:
- Intestinal adenocarcinoma: These types of stomach cancer typically have gene changes which allows for treatment with targeted therapy.
- Diffuse adenocarcinoma: This type of stomach cancer spreads more quickly and is quite difficult to treat. This is less common when compared to intestinal adenocarcinoma.
Symptoms
Here are some of the most common symptoms of adenocarcinoma in the stomach.
These may include:
- Indigestion
- Heartburn
- Loss of appetite
- Mild nausea
- Feeling full after eating some portions of the food
- Unexplained weight loss
This type of cancer is often associated with H. pylori infection, smoking, and dietary factors like salty or smoked foods.
Treatment options
Here are some of the treatments used in adenocarcinoma.
These may include:
- Surgery
- Chemotherapy
- Radiation therapy
- Targeted drug therapy
- Immunotherapy
Lymphoma
Lymphomas are generally cancers developed in the lymphatic system, which mainly includes the lymphocytes, which are a type of white blood cell. When these types of cancer develop in the stomach, they are called primary gastric lymphomas. Studies suggest that approximately 5% of lymphoma cases are all stomach cancers.
Types of lymphoma:
- MALT (Mucosa assisted lymphoid tissue) Lymphoma: This type of cancer usually develops in the abdomen. It generally develops in the stomach’s inner lining, or mucosa. This type of condition might stay where it begins. However, it can spread to areas outside of the stomach. This is the most common type of MALT Lymphoma.
- Diffuse Large B-cell Lymphoma (DLBCL): This is a common type of cancer that usually develops in the stomach. It is generally considered an aggressive type of lymphoma in the stomach.
Symptoms
Here are some of the symptoms of lymphoma in the stomach.
These may include:
- Abdominal pain
- Weight loss
- Nausea and vomiting
- Loss of appetite
- Heart burn
- Indigestion
Treatment options
Here are some treatments used for the cure of this cancer.
These may include:
- Chemotherapy
- Radiation therapy
- Surgery
- Immunotherapy
- Targeted therapy
- Bone marrow transplant
Gastrointestinal Stromal Tumors (GISTs)
GISTs are generally the cancerous tumors that develop in the walls of the gastrointestinal tract of the digestive system. It’s a type of soft tissue sarcoma and usually rare in nature. These gastrointestinal tumors may not cause any specific symptoms, especially when the symptoms are subtle and small.
Symptoms
Here are some of the symptoms of Gastrointestinal Stromal tumors.
These may include:
- Abdominal pain
- Blood in the stool (poop)
- Constipation
- Fatigue
- Sudden weight loss
- Loss of appetite
- Vomiting blood
Treatment options
The treatment option for this cancer may include:
- Surgery
- Targeted therapy
- Chemotherapy
- Radiation therapy
Carcinoid Tumors
Carcinoid tumors are a type of slow-growing tumor that are small in size, also known as neuroendocrine tumors, and usually develop in the digestive tract, including the stomach, appendix, small intestine, colon, rectum, and lungs.
These types of tumors usually don’t cause any specific signs and symptoms until the tumor gets in the advanced stages.
Symptoms
Here are some of the signs and symptoms of carcinoid tumors.
These may include:
- Abdominal pain
- Experiencing changes in bowel habits
- Nausea and vomiting
- Skin flushing
- Diarhea
- Weight loss
- Fatigue
Treatment options
Here are some of the treatment options that are generally used for the cure of this cancer.
These may include:
- Endoscopic resection
- Local excision
- Resection
- Debulking surgery
Other treatments may also include:
- Chemotherapy
- Targeted therapy
- Radiofrequency ablation
- Cryosurgery
- Liver transplant
Squamous Cell Carcinoma
Squamous cell carcinoma of the stomach is a rare type of cancer, as this type of cancer typically affects the skin, and according to many studies and reports there are only a few cases which is less than 100 cases, reported in medical reports. Squamous cell carcinoma is a very unusual form of stomach cancer.
Symptoms
Here are few symptoms of squamous cell carcinoma, these may include:
- Intermittent abdominal pain
- Weight loss
- Anemia
- Digestive problems
Treatment options
The treatment option for this type of cancer may include:
- Gastroctomy
- Surgery
Other treatment options may include:
- Chemotherapy
- Radiation therapy
- Immunotherapy
Key differences between these stomach cancers
Here are the accurate key differences between stomach cancers.
Type | Origin | Commonness | Aggressiveness | Treatment |
---|---|---|---|---|
Adenocarcinoma | Glandular cells | Most common | Varies by subtype | Surgery, chemotherapy |
Lymphoma | Lymphocytes | Rare MALT (slow-growth) DLBCL (most common) | Varies by subtype | Chemotherapy and antibody |
Gastrointestinal Stromal Tumors | Interstitial cells | Rare | Most common | Targeted therapy |
Carcinoid Tumors | Neuroendocrine cells | Rare | Varies by subtype | Surgery, chemotherapy |
Squamous Cell Carcinoma | Squamous cells | Very rare | Aggressive | Surgery, chemotherapy, radiation therapy, targeted therapy |
How are these cancers diagnosed?
Your medical team will review your previous medical records, and ask about any kinds of symptoms and perform several physical examinations that may involve a feeling of any kinds of mass in the stomach. They might conduct several tests to diagnose and stage stomach cancer.
Here are some of the various tools to differentiate between these types:
- Endoscopy with biopsy
- Imaging tests (CT scan, MRIs, PET Scans)
- Blood tests
- Molecular testing for gene mutations (especially in GISTs)
Treatment approaches for each stomach cancers
The treatment approaches for each stomach generally depend on the spread and growth of cancer in a patient. Additionally, factors such as the patient's overall health conditions, age, gender, and previous medical history and its treatment options.
It usually involves a medical care team that includes the health care provider, a cancer specialist (oncologist), and a gastrointestinal specialist (gastroenterologist).
Consult Today
Stomach cancer is not a single disease, as it includes several types with different treatment plans. From common adenocarcinoma to rare and treatable GISTs, identifying the type of stomach cancer is essential to creating a more personalized and effective treatment plan. Early diagnosis is the first line of defense when it comes to cancer, so always pay attention to any recurring symptoms such as digestive symptoms and consult a doctor and get checked immediately.
At Oncare, we offer premium-quality treatments, including advanced cancer surgeries, at affordable price ranges with an experienced cancer specialist consultation.
If you or any loved ones of yours are diagnosed with cancer, then visit Oncare Cancer Center and book an appointment with our cancer specialist today!
Get an estimated cost of your cancer treatments today!
Frequently Asked Questions
There are some factors that increase the risk of stomach cancer.
These may include:
- Family history of stomach cancer
- H.pylori infection
- Gastroesophageal reflux disease
- Gastritis
- Epstein-Barr virus
- History of stomach ulcers or stomach polyps
- Diet with high fat, salt, smoked or pickled foods
- Poor diet that lacks fruits and vegetables
- Frequent exposure to coal, metal, and rubber
- Smoking, vaping and chewing tobacco
- Obesity
- Autoimmune atrophic gastritis
Here are some genetic conditions that are linked to the risk of developing stomach cancer in people.
These may include:
- Lynch syndrome
- Peutz-Jaghers syndrome
- Li-Fraumeni syndrome
- Familial adenomatous polyposis
- Hereditary diffuse gastric cancer
- Common variable immunodeficiency syndrome (CVID)
Here’s how stomach cancer is diagnosed in suspected patients.
These may include:
- Upper endoscopy
- Endoscopic ultrasound
- Radiologic tests
- Blood tests
- Laparoscopy
Here are some of the treatment options used for the cure of this cancer.
These may include:
- Surgery
- Chemotherapy
- Radiation therapy
- Targeted therapy
- Immunotherapy
- Palliative care