Gastric cancer in minority populations

The incidence and mortality rate for gastric cancer has been declining steadily over the last six decades. This observation is worldwide, even in regions with high prevalence, and across different ethnic groups. The identification of H. pylori as an etiological factor in gastric cancer has renewed interest in this disease. There are some differences in the features of this disease among Hispanic Americans (Latinos), African Americans, Asian Americans, and Native Americans who constitute minority populations in the United States. The incidence rates of gastric cancer in minority groups is 5-10 times higher than that of Caucasians. This review will address the epidemiology, pathogenesis, diagnosis, and treatment of gastric cancer with emphasis on minority populations.