Can Stomach Cancer Tumors Rupture?

Stomach cancer tumors can indeed rupture, especially as they grow and become more aggressive. Initially, the cancer originates from the epithelial cells of the stomach lining. As these abnormal cells multiply rapidly, they form a mass that can expand beyond the stomach wall. When the tumor reaches a certain size or becomes fragile, it may rupture, leading to serious complications.

Rupture can cause sudden and severe abdominal pain. Patients often experience sharp upper abdominal pain that quickly spreads throughout the entire abdomen. Upon examination, symptoms such as widespread tenderness, rebound tenderness, and a rigid or "board-like" abdomen are commonly observed. This condition is often accompanied by internal bleeding due to damaged blood vessels.

Minor bleeding may result in black, tarry stools, which is a sign of digested blood in the digestive tract. In such cases, non-surgical, medical management can often control the bleeding effectively. However, if the hemorrhage is significant, the patient may begin vomiting blood, a condition known as hematemesis.

Severe bleeding can lead to life-threatening complications, including hypovolemic or hemorrhagic shock. Immediate medical intervention is crucial in these situations. Endoscopic procedures are typically used to locate and stop the source of bleeding. In more critical cases, surgical intervention may be necessary to manage the rupture and prevent further damage.

Blood transfusions may be required for patients with severe anemia caused by prolonged or heavy internal bleeding. Prompt diagnosis and treatment significantly improve outcomes, especially in emergency situations involving tumor rupture.

If you or someone you know experiences sudden abdominal pain along with signs of internal bleeding, seek emergency medical care immediately.