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胃癌是香港最常見的第六種癌症，其中2016種新疾病超過1200種，700例死亡。腹膜轉移是復發性胃癌患者的常見病。如果患者只接受更多的被動支持治療，患者的平均壽命只有3個月左右。隨著醫學技術的不断發展，腹膜轉移而無其他擴散的患者可被視為局部疾病。可考慮採用新的細胞減滅術聯合腹腔熱化療。研究表明，患者的中位生存期可以從3個月延長到6-21個月。 臨床經驗表明，早期胃癌患者大多無任何症狀，僅有10%可能有消化性潰瘍、噁心、食慾不振、飽腹等症狀，且無明顯體徵，大部分體檢無異常徵象。晚期胃癌最常見的症狀是體重減輕、腹痛、噁心、食慾不振、貧血或慢性胃腸道出血，其中一小部分會出現急性出血。如果腫瘤靠近幽門，可能導致胃出口梗阻。如果腫瘤靠近賁門，可能引起吞嚥困難。由於症狀往往不是指示性的，近60%的患者在就醫前有超過3個月的症狀。 胃癌的治療雖有進步，但預防勝於治療。幽門螺桿菌是胃癌的重要病因。早期發現和消除幽門螺桿菌可降低胃癌的發病率。對於已經有癌前病變或其他癌症高危因素的患者，醫生建議每1-2年進行一次胃鏡檢查。雖然飲食與胃癌的關係尚未得到證實，但多吃新鮮的蔬果，少吃醃製和燻製的食物、肉類，以及禁菸和過量飲酒，都對身體有益而無任何危害。讓自己有病才後悔！