Gastric Conditions That May Progress to Stomach Cancer

Chronic atrophic gastritis is one of the most well-known precancerous conditions of the stomach. When this condition progresses to intestinal metaplasia and dysplasia, the risk of developing gastric cancer significantly increases. Patients diagnosed with this advanced stage of gastritis should consider preventive medical interventions or surgery under the guidance of a specialist.

Another condition to be aware of is gastric polyps, particularly adenomatous polyps, which have a high likelihood of becoming cancerous. While inflammatory polyps rarely transform into cancer, larger adenomatous polyps—especially those greater than 2 cm in size and with a broad base—carry a much higher risk. These should be closely monitored or removed to reduce cancer risk.

In addition, gastric ulcers can also carry a risk of malignancy, especially at the ulcer's margins. Although only a small percentage of ulcers become cancerous, it is important to undergo regular endoscopic evaluations to monitor any cellular changes.

Another condition to consider is residual stomach inflammation, or "post-gastrectomy gastritis". Individuals who have undergone partial gastrectomy may face an increased risk of developing cancer in the remaining stomach tissue, typically 10 to 15 years after the initial surgery.

In conclusion, individuals diagnosed with any of the above conditions should follow a regular screening and surveillance schedule. Early detection and timely medical intervention are key to preventing progression to stomach cancer. Always consult with a healthcare provider to determine the most appropriate course of action based on your individual risk factors.