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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lump At Bottom Of Sternum. Abdominal Ultrasound Negative. History Of Gastric Bypass, Stomach Cancer. Concerned?

Abdominal ultrasound yesterday...went to doc for lump/bump at bottom of sternum (xyphoid). Was unnerved when she stated she hadn t seen anything like it before. (My PCP was not in....ugh). Ultrasound was negative...doc called and said it was just the xyphoid and all was OK. My PCP called me later to check in and told her I am still worried. I have history of gastric bypass (9.5 yrs) and stomach cancer in the family (father). I ve been researching online and feel I still have reason to be very concerned. Advice?????
Wed, 6 Mar 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

As stomach cancer can give no symptoms at all or gives nonspecific symptoms like abdominal pains, weakness, nausea it is very hard to detect it in an early stage. And it is told that about 20% of it can be hereditary. According to this facts it is very hard to tell you if you should be afraid of this cancer or not.
The best way to deal with this problem is to have upper GI endoscopy performed (ultrasound wont visualize early stage of stomach cancer). You can also have checked Ca 19-9 marker from time to time.

Hope this will help.
Regards.
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Lump At Bottom Of Sternum. Abdominal Ultrasound Negative. History Of Gastric Bypass, Stomach Cancer. Concerned?

Hello! Thank you for the query. As stomach cancer can give no symptoms at all or gives nonspecific symptoms like abdominal pains, weakness, nausea it is very hard to detect it in an early stage. And it is told that about 20% of it can be hereditary. According to this facts it is very hard to tell you if you should be afraid of this cancer or not. The best way to deal with this problem is to have upper GI endoscopy performed (ultrasound wont visualize early stage of stomach cancer). You can also have checked Ca 19-9 marker from time to time. Hope this will help. Regards.