Gastric Cancer

Stage 4 gastric cancer is the most advanced stage of stomach cancer. It indicates that the cancer has spread beyond the stomach to other parts of the body. This spread, known as metastasis, can occur through the lymphatic system or bloodstream.  

Common Sites of Metastasis:

  • Liver
  • Lungs
  • Lymph nodes
  • Peritoneum (the tissue lining the abdominal cavity

Gastric-Oncology-Dr.-Azriel-Hirschfeld

Symptoms of Stage 4 Gastric Cancer:

While symptoms can vary, common signs and symptoms of stage 4 gastric cancer may include:

  • Persistent abdominal pain or discomfort
  • Unexplained weight loss
  • Loss of appetite
  • Nausea and vomiting  
  • Feeling full quickly after eating a small amount of food  
  • Fatigue
  • Iron-deficiency anemia (leading to weakness and fatigue)  
  • Difficulty swallowing  
  • Vomiting blood or dark, coffee-ground-like material  
  • Jaundice (yellowing of the skin or eyes

More About Gastric Cancer

Gastric cancer, also known as stomach cancer, is a type of cancer that originates in the stomach. While it has become less common in many developed countries, it remains a significant health concern globally.

Causes and Risk Factors

The exact cause of gastric cancer is unknown, but several factors can increase your risk, including:

  • Helicobacter pylori (H. pylori) infection: A bacteria that can cause stomach ulcers
  • Diet: High consumption of smoked, salted, or pickled foods
  • Anemia: Iron deficiency anemia
  • Family history of gastric cancer
  • Older age
  • Type A blood type

Diagnosis and Treatment

Early detection is key to successful treatment. Diagnostic tests may include:

  • Endoscopy
  • Biopsy
  • Imaging tests (CT scan, MRI, ultrasound)

Treatment options depend on the stage of the cancer and the patient’s overall health. They may include:

  • Surgery
  • Chemotherapy
  • Radiation therapy
  • Targeted therapy
  • Immunotherapy

Personalized Care for Stage 4 Gastric Cancer

Even with advanced stomach cancer, treatment can provide relief, extend survival, and improve quality of life. At Hirschfeld Oncology, we create tailored plans that combine proven therapies with innovative strategies — offering hope when the path seems limited.

Request Your Personalized Treatment Plan

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Dr. Azriel Hirschfeld is a servant to his profession--a close listener, smart as a whip, patient, kind, informed and above all a learner. Have been to a swarm of doctors on our journey and not one measures up to this doctor's professionalism and giftedness. He is a rare find.

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BEST ONCOLOGIST in the world 🙏🏻 I am forever thankful to have found him . Dr. Hirshfeld is very patient and listens . Unlike other places I am NOT just a number to him , he cares and it shows .

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Dr. Hirschfeld was incredibly knowledgeable and was so easy to talk to. He acted like I was his only patient today, spending so much time with me with no distractions. And his “bedside manner” is amazing.

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I am more than happy, this being my first time with the doctor. I felt more than good. I recommend that you go and treat yourself with the doctor. The place is clean and pleasant, she treats you with great respect and is very kind. I liked it a lot, and she helps with whatever problem I have. Thank you

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Leah and Francine are super professional, they know exactly what they are doing, they know each and every patient personally. They are the best support team you could ask for when you go through a rough time and being diagnosed.

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Dr. Hirschfeld took on my problem and made it his problem.  We started chemo therapy on second week and many other procedures like frequent shots to increase white blood cells, imuno therapy every other week, constant blood work to test for prognosis and many other procedures that make you feel that your are being taken care of by right people when one is at the most vulnerable position.

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