Stomach cancer remains a critical health challenge in China, accounting for nearly half of global cases, with a high proportion of late-stage diagnoses. Early screening via gastroscopy for individuals aged 45 and above, particularly those with family history or poor lifestyle habits, serves as the most effective prevention strategy. The disease is largely driven by modifiable lifestyle factors—including high-salt diets, smoking, alcohol consumption, and chronic stress—rather than purely genetic inheritance. While traditionally considered an age-related condition, a concerning trend of younger patients necessitates increased public awareness. Eradicating *Helicobacter pylori* and maintaining regular health check-ups are vital steps in shifting the current late-stage diagnosis landscape toward early, manageable intervention, significantly improving survival rates and treatment outcomes.
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