Gastric Ulcer Size: When Should You Be Concerned About Malignancy?

When the diameter of a gastric ulcer exceeds 2 centimeters, there is an increased concern for potential malignancy. However, it's important to note that not all ulcers larger than this are cancerous. In such cases, an endoscopic examination is highly recommended.

During an endoscopy, a flexible tube with a camera is inserted through the mouth, down the esophagus, and into the stomach. This allows doctors to closely examine the size, depth, shape, and overall appearance of the ulcer. If necessary, a biopsy can be performed during the procedure, where small tissue samples are collected and sent for pathological analysis to determine whether the ulcer is benign or malignant.

If the ulcer is determined to be benign, treatment typically involves medications such as proton pump inhibitors (PPIs) to reduce stomach acid and promote healing. However, if the results indicate malignancy, further diagnostic tests will be required to assess the extent of the disease. Depending on the stage and patient's condition, treatment options may include surgery, chemotherapy, or a combination of both.

It's crucial to seek medical evaluation if you experience persistent upper gastrointestinal symptoms such as abdominal pain, unexplained weight loss, or difficulty eating. Early diagnosis through endoscopy significantly improves treatment outcomes, making it essential for individuals with large gastric ulcers to undergo proper evaluation without delay.