I Understand The Standard Test For Gastric Cancer Is An
 
                                    
                                    
                                          
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                                           Sat, 25 May 2019
                                           
                                        
                                        
                                        
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                                                Sat, 25 May 2019
                                                
                                            
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                                            Question : I understand the standard test for gastric cancer is an endoscopy, but my question is if you had both an abdomen ultrasound and an MRI of the abdomen both with and without contrast what is the probability both tests would not identify a gastric cancer? Thanks 
                            
 
                                    I understand the standard test for gastric cancer is an endoscopy, but my question is if you had both an abdomen ultrasound and an MRI of the abdomen both with and without contrast what is the probability both tests would not identify a gastric cancer? Thanks 
                                
                            
 
                                    The MRI states stomach unremarkable and the ultrasound says nothing! Thanks!
                                
                            
 
                                    The MRI states stomach unremarkable and the ultrasound says nothing! Thanks!
                                
                            
 
                                    Only symptom RUQ intermittent pain
                                
                            
 
                                    Only symptom RUQ intermittent pain
                                
                            
 
                                    Some heartburn but used Nexium for 2 weeks 
                                
                            
 
                                    Some heartburn but used Nexium for 2 weeks 
                                
                            
                                    Brief Answer:
Please get an upper gastrointestinal endoscopy done
Detailed Answer:
Hi,
Thanks for writing in to us.
A cancer is a very general term and there can can large obvious cancerous lesions, suspicious cancerous lesions and occult cancerous lesions.
A MRI contrast scan can pick up large cancers and suspicious wall irregularities if the stomach is in distended state.
Occult cancers may not be visualised even on MRI scan if there is no sufficient wall involvement.
An upper gastrointestinal endoscopy is the best test to look for any luminal ulcers and for any mucosal changes. There are not well captured in MRI images.
Ultrasound scan abdomen does not give an adequate visualisation of the stomach in all patients and therefore the stomach findings are not regularly mentioned in the ultrasound scan report.
A right upper quadrant pain can be from many causes and I understand your gall bladder has been evaluated in the ultrasound and MRI scans.
If not done, please discuss an endoscopy with your doctors to know if there can be any small ulcer or occult lesion in the lumen of the stomach.
Regards,
                                    
                            Please get an upper gastrointestinal endoscopy done
Detailed Answer:
Hi,
Thanks for writing in to us.
A cancer is a very general term and there can can large obvious cancerous lesions, suspicious cancerous lesions and occult cancerous lesions.
A MRI contrast scan can pick up large cancers and suspicious wall irregularities if the stomach is in distended state.
Occult cancers may not be visualised even on MRI scan if there is no sufficient wall involvement.
An upper gastrointestinal endoscopy is the best test to look for any luminal ulcers and for any mucosal changes. There are not well captured in MRI images.
Ultrasound scan abdomen does not give an adequate visualisation of the stomach in all patients and therefore the stomach findings are not regularly mentioned in the ultrasound scan report.
A right upper quadrant pain can be from many causes and I understand your gall bladder has been evaluated in the ultrasound and MRI scans.
If not done, please discuss an endoscopy with your doctors to know if there can be any small ulcer or occult lesion in the lumen of the stomach.
Regards,
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Nagamani Ng
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Please get an upper gastrointestinal endoscopy done
Detailed Answer:
Hi,
Thanks for writing in to us.
A cancer is a very general term and there can can large obvious cancerous lesions, suspicious cancerous lesions and occult cancerous lesions.
A MRI contrast scan can pick up large cancers and suspicious wall irregularities if the stomach is in distended state.
Occult cancers may not be visualised even on MRI scan if there is no sufficient wall involvement.
An upper gastrointestinal endoscopy is the best test to look for any luminal ulcers and for any mucosal changes. There are not well captured in MRI images.
Ultrasound scan abdomen does not give an adequate visualisation of the stomach in all patients and therefore the stomach findings are not regularly mentioned in the ultrasound scan report.
A right upper quadrant pain can be from many causes and I understand your gall bladder has been evaluated in the ultrasound and MRI scans.
If not done, please discuss an endoscopy with your doctors to know if there can be any small ulcer or occult lesion in the lumen of the stomach.
Regards,
                                    
                            Please get an upper gastrointestinal endoscopy done
Detailed Answer:
Hi,
Thanks for writing in to us.
A cancer is a very general term and there can can large obvious cancerous lesions, suspicious cancerous lesions and occult cancerous lesions.
A MRI contrast scan can pick up large cancers and suspicious wall irregularities if the stomach is in distended state.
Occult cancers may not be visualised even on MRI scan if there is no sufficient wall involvement.
An upper gastrointestinal endoscopy is the best test to look for any luminal ulcers and for any mucosal changes. There are not well captured in MRI images.
Ultrasound scan abdomen does not give an adequate visualisation of the stomach in all patients and therefore the stomach findings are not regularly mentioned in the ultrasound scan report.
A right upper quadrant pain can be from many causes and I understand your gall bladder has been evaluated in the ultrasound and MRI scans.
If not done, please discuss an endoscopy with your doctors to know if there can be any small ulcer or occult lesion in the lumen of the stomach.
Regards,
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Nagamani Ng
                                  
                              
                                         
 
                                    
                                    
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