Signs and Symptoms of Gastric Cancer Recurrence

When gastric cancer recurs, patients may experience a range of symptoms depending on the location and severity of the recurrence. It's important to be aware of these signs for early detection and timely medical intervention.

Local Pain or Discomfort Near the Surgical Site

One of the common indicators of local recurrence is persistent pain around the original surgical scar. This can be accompanied by a sensation of food getting stuck while swallowing or a feeling of fullness and bloating after eating. This occurs when the tumor regrows near the surgical site, causing narrowing at the anastomosis—the point where the stomach is reconnected after surgery.

Unexplained Bleeding or Tumor-Related Damage

If the tumor presses on nerves or blood vessels, it can lead to significant pain and even sudden gastrointestinal bleeding. Patients may experience vomiting blood or passing black, tarry stools, which are strong warning signs of internal bleeding and possible tumor regrowth.

Pain or Obstruction Due to Nerve Compression

Tumors pressing on nerves can cause severe pain, while those blocking the digestive tract can lead to symptoms like nausea, vomiting, and difficulty passing stool. These symptoms may appear suddenly and indicate that the cancer is affecting surrounding tissues or organs.

Abdominal Swelling and Fluid Buildup From Peritoneal Metastasis

Gastric cancer often spreads to the peritoneum, the lining of the abdominal cavity. This can result in abdominal swelling, discomfort, and the accumulation of fluid known as ascites. Some patients may also notice changes in bowel habits, such as constipation or signs of intestinal blockage, which suggest cancer has spread within the abdominal region.

Recognizing these symptoms early can significantly improve outcomes. If any of these signs appear after treatment, it's crucial to consult a healthcare provider promptly for further evaluation and management.