A 35-year-old female asked:
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can stomach cancer be diagnosed without actual tumors being visuall? i have hpylori, severe gastritis and ulcers along with interstitial cystitis.

2 doctor answers
Dr. William Harris
32 years experience Family Medicine
Yes: Stomach cancer is usually diagnosed by looking at biopsy specimens under the microscope. Samples are obtained by scope evaluation (egd). Treat your stomach problems with potent acid-blockers; avoid smoking, alcohol, and other irritants. Barrett's esophagitis or stomach cancer should be monitored by your GI doctor with regular egds.
Answered on Jun 10, 2014
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Dr. Chevies Newman
21 years experience Obstetrics and Gynecology
Biopsies: Stomach cancer is very unusual at 35 Y.O. Stick with the meds your GI doctor gave you, it sounds like you got an egd and are concerned they missed a cancer. That is very low probability. Interstitial cystitis would not be related to stomach cancer. You may, as well, have some issues with stress. Consider getting treatment with a medicine that helps decrease pain signals if so, likecymbalta
Answered on Jun 10, 2014
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Dr. Steve Martinez
27 years experience Breast Surgery
Stomach cancer can present as an ulcer. All stomach ulcers should be biopsied.
Dec 27, 2012

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Dr. Ihor Zakaluzny
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No, but acceptable: In your situation, with the family history, the additional biopsies seem to be a prudent action.
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Dr. Adam Steinlauf
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Yes: Whenever an endoscopy is done and gastritis and ulcers are diagnosed, we are always looking for tumors, whether or not h. Pylori is found.
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