Can a 20-Year-Old Gastric Ulcer Turn Cancerous?

Understanding the Risk of Cancer from Long-Term Gastric Ulcers

Having a gastric ulcer for 20 years does not automatically mean it will become cancerous. In fact, not all individuals with gastric ulcers will develop cancer, even after such a long duration. However, regular endoscopic checkups are highly recommended to monitor any changes in the ulcer. In some cases, a biopsy may be necessary to determine the exact nature of the ulcer. While the risk of malignancy is relatively low—less than 1%—it's still important to remain vigilant and proactive about gastric health.

The Role of Helicobacter Pylori in Gastric Cancer Risk

One critical factor to consider is the presence of Helicobacter pylori (H. pylori) infection, which is a well-known contributor to the development of stomach cancer. If testing reveals an H. pylori infection, it's essential to undergo a standard course of quadruple therapy lasting 10–14 days to eradicate the bacteria. This treatment significantly reduces the long-term risks associated with chronic ulcers and helps protect against further complications.

Managing Chronic Ulcers Through Ongoing Care

Beyond treating infections, managing a long-standing gastric ulcer involves consistent use of medications that reduce stomach acid and protect the gastric lining. Regular follow-up endoscopies are also crucial to assess healing progress and detect any abnormal changes early. By staying on top of medical care and following a doctor's recommendations, patients can greatly minimize the potential risks linked to chronic gastric ulcers.