What are guidelines for routine screening for gastric cancer in the US?

Updated: May 21, 2019
  • Author: Elwyn C Cabebe, MD; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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Answer

Gastric cancer is the third leading cause of cancer death worldwide, with the highest rates reported in East Asia, South America and Eastern Europe. The lowest reported incidence is in North America. It is relatively uncommon in the United States, with an estimated 26,370 new cases and 10,730 deaths in 2016. [10]

Although early-detection screening is routine in areas with high disease rates such as Japan and Korea, no major US organization recommends general population screening for gastric cancer. According to the National Cancer Institute (NCI) PDQ cancer information summary for stomach (gastric) cancer screening, there is no evidence that screening would result in a decrease in mortality in areas with relatively low incidence of the disease, such as the US. [62]


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