Despite the decline in incidence and mortality rates, gastric cancer (GC) is the fifth leading cause of cancer deaths worldwide. The incidence and mortality of GC are exceptionally high in Asia due to high H. pylori infection, dietary habits, smoking behaviors, and heavy alcohol consumption. In Asia, males are more susceptible to developing GC than females. Variations in H. pylori strains and prevalence rates may contribute to the differences in incidence and mortality rates across Asian countries. Large-scale H. pylori eradication was one of the effective ways to reduce GC incidences. Treatment methods and clinical trials have evolved, but the 5-year survival rate of advanced GC is still low. Efforts should be put towards large-scale screening and early diagnosis, precision medicine, and deep mechanism studies on the interplay of GC cells and microenvironments for dealing with peritoneal metastasis and prolonging patients' survival.
Keyphrases
- risk factors
- gas chromatography
- alcohol consumption
- clinical trial
- cardiovascular events
- end stage renal disease
- newly diagnosed
- big data
- smoking cessation
- squamous cell carcinoma
- prognostic factors
- high resolution
- coronary artery disease
- mass spectrometry
- free survival
- pi k akt
- cell death
- cell proliferation
- young adults
- signaling pathway
- artificial intelligence
- cell cycle arrest
- helicobacter pylori infection