Gastric cancer, also known as stomach cancer, is a significant global health challenge. It remains one of the leading causes of cancer-related deaths worldwide. Singapore, with its advanced healthcare infrastructure and commitment to medical excellence, has become a key destination for the diagnosis and treatment of gastric cancer in Southeast Asia. This article explores the various aspects of gastric cancer treatment in Singapore, including available therapies, specialized centers, multidisciplinary approaches, and patient support services.
Understanding Gastric Cancer
Gastric cancer develops when malignant (cancerous) cells form in the lining of the stomach. It can grow and spread rapidly if not detected early. There are different types of gastric cancer, the most common being adenocarcinoma, which starts in the mucus-producing cells of the stomach lining.
Common Symptoms:
Persistent indigestion or heartburn
Loss of appetite
Unexplained weight loss
Abdominal pain or discomfort
Nausea or vomiting
Blood in stool or vomit
Fatigue and weakness
Early-stage gastric cancer is often asymptomatic or presents non-specific symptoms, making early detection a challenge.
Why Choose Singapore for Gastric Cancer Treatment?
Singapore is renowned for its:
State-of-the-art medical facilities
Highly trained oncologists and surgeons
Access to the latest cancer therapies
Multidisciplinary care
Efficient healthcare system with minimal waiting times
Medical tourism support infrastructure
The city-state’s healthcare system consistently ranks among the best globally, making it a preferred choice for both local and international cancer patients.
Diagnosis of Gastric Cancer in Singapore
Diagnosis typically begins with a detailed medical history and physical examination, followed by specialized tests, including:
Endoscopy – A key diagnostic tool allowing direct visualization and biopsy of the stomach lining.
CT Scans and MRI – To determine the extent of cancer and whether it has spread.
PET-CT Scan – Helps identify distant metastases.
Endoscopic Ultrasound (EUS) – Assesses the depth of tumor invasion and lymph node involvement.
Blood Tests and Tumor Markers – To evaluate organ function and detect cancer-specific proteins.
Treatment Options for Gastric Cancer in Singapore
Treatment depends on the stage of cancer, patient’s health status, and other individual factors. A multidisciplinary team comprising oncologists, surgeons, radiologists, pathologists, and nutritionists collaborates to develop personalized treatment plans. Main treatment modalities include:
1. Surgery
Surgical removal remains the cornerstone of curative treatment for localized gastric cancer.
Subtotal (Partial) Gastrectomy: Removal of part of the stomach.
Total Gastrectomy: Removal of the entire stomach with reconstruction of the digestive tract.
Minimally Invasive Surgery: Laparoscopic or robotic surgery techniques are increasingly used in Singapore to reduce recovery time and post-operative complications.
2. Chemotherapy
Often used before (neoadjuvant) or after (adjuvant) surgery to shrink tumors or eliminate residual cancer cells. Advanced gastric cancer may require palliative chemotherapy to prolong survival and improve quality of life.
Common drugs include:
5-FU (fluorouracil)
Cisplatin
Capecitabine
Oxaliplatin
Trastuzumab (for HER2-positive cancers)
3. Radiation Therapy
May be combined with chemotherapy, especially in cases where surgery is not possible. Techniques such as Intensity-Modulated Radiation Therapy (IMRT) are used for precise targeting of cancerous tissue.
4. Targeted Therapy
Singapore offers cutting-edge targeted treatments that focus on specific genetic markers of cancer cells. Drugs like Trastuzumab (for HER2-positive tumors) and Ramucirumab (anti-angiogenesis agent) are examples.
5. Immunotherapy
For selected patients with advanced or metastatic gastric cancer, immunotherapy drugs such as Pembrolizumab and Nivolumab may be considered. These drugs stimulate the patient’s immune system to fight cancer.
Leading Cancer Treatment Centers in Singapore
Singapore houses some of the most advanced cancer treatment institutions in Asia. Notable centers include:
National Cancer Centre Singapore (NCCS)
A national and regional center of excellence offering comprehensive cancer services and research.National University Cancer Institute, Singapore (NCIS)
Part of the National University Health System, offering specialized gastrointestinal cancer care.Mount Elizabeth Hospital (Orchard & Novena)
A premier private hospital with access to top cancer specialists and advanced facilities.Gleneagles Hospital
Known for personalized cancer care and state-of-the-art technology.Parkway Cancer Centre
A private institution offering holistic cancer care, including psychological and nutritional support.
Supportive Care and Patient Services
Cancer treatment in Singapore extends beyond medical therapy. A wide range of supportive services are available:
Palliative care: For symptom relief and improving quality of life in advanced cases.
Nutrition counseling: To manage dietary challenges during treatment.
Psychosocial support: Oncology counselors and support groups help patients and families cope emotionally.
Rehabilitation services: Focused on helping patients regain strength and function after surgery or treatment.
Medical concierge services: For international patients, assistance with appointments, accommodation, and translation is available.
Insurance and Financial Aid:
Local patients can tap into government subsidies, Medisave, MediShield Life, and Medifund. Private and international insurance plans are generally accepted.
Clinical Trials and Research
Singapore is at the forefront of cancer research, offering access to clinical trials for innovative therapies. Patients meeting specific criteria may enroll in trials at institutions like NCCS and NCIS to benefit from cutting-edge treatments not yet widely available.
Conclusion
Gastric cancer treatment in Singapore represents a blend of world-class medical expertise, innovative technology, and compassionate care. With a strong emphasis on precision medicine and multidisciplinary collaboration, Singapore offers hope and healing for patients at all stages of gastric cancer. Whether you're a local resident or an international patient seeking expert care, Singapore provides a trusted environment for cancer
