Can Gastric Ulcers with Gastrointestinal Bleeding Turn Into Stomach Cancer?

Gastric ulcers accompanied by gastrointestinal bleeding do not typically progress to stomach cancer. According to medical literature, the risk of gastric ulcer malignancy is approximately 1%. This low probability mainly applies to individuals suffering from long-term, chronic, and recurrent ulcers. Patients over the age of 45 with persistent ulcers that do not heal are at a higher risk for cancerous transformation.

When gastric ulcers are diagnosed, especially in the presence of high-risk factors, it is crucial to undergo a gastroscopy. During this procedure, tissue samples can be collected for biopsy to determine whether the ulcer is benign or shows signs of malignancy. Early detection through endoscopic examination significantly improves the chances of identifying any precancerous changes or early-stage cancer.

If there is evidence of malignant potential or precancerous lesions, surgical removal of the affected area may be recommended. However, the majority of gastric ulcers respond well to medical treatment. Standard therapies include acid suppression using proton pump inhibitors, mucosal protection agents, and eradication of Helicobacter pylori infection if present. With proper treatment lasting around 6–8 weeks, most ulcers heal successfully.

In cases where ulcers are associated with gastrointestinal bleeding, regular follow-up is essential. Monitoring the progression of the condition helps detect any malignant changes early. Individuals with recurrent ulcers, poor response to medication, a family history of gastric cancer, or those aged over 45 should be particularly vigilant about possible cancerous developments.

In conclusion, while the chance of gastric ulcers turning into cancer is relatively low, certain risk factors increase the likelihood. Timely diagnosis, appropriate treatment, and ongoing monitoring are key to preventing complications and ensuring a favorable outcome.