Gastric Cancer: Which Department Should You Visit?

If you suspect gastric cancer or have been diagnosed, it's important to know which medical department to consult for the best treatment outcomes. Typically, patients can seek care from general surgery, gastroenterology, or medical oncology departments. In most cases, especially in China, the majority of gastric cancer patients are first admitted to the general surgery department for evaluation. This is because surgical intervention is often required, particularly for advanced stages of the disease. During this phase, doctors will assess whether the tumor is operable and determine the appropriate surgical plan, including possible lymph node removal and partial gastrectomy (usually involving the removal of about two-thirds of the stomach).

For patients with early-stage gastric cancer, treatment options may differ. Those with small tumors (such as high-grade adenocarcinoma under 3 cm), without ulceration or scarring, may be eligible for endoscopic submucosal dissection (ESD). This minimally invasive procedure is typically performed by a gastroenterologist and can offer a curative solution for select early-stage patients.

For follow-up visits or more advanced cases, patients may need to consult with oncologists or chemotherapy specialists. These experts help manage post-operative care, administer chemotherapy, and monitor the patient's condition through regular check-ups and imaging studies.

In summary, the right department depends on the stage and specifics of the cancer. Early detection and appropriate referral are key to improving outcomes and increasing the chances of successful treatment. If you're unsure where to start, your primary care physician can guide you toward the correct specialist based on your symptoms and diagnostic results.