TREATMENT OPTIONS BY STAGE
Stage 0 Stomach Cancer (Carcinoma in Situ)
Treatment of stage 0 stomach cancer is usually surgery (total or subtotal
gastrectomy). Gastrectomy is an operation to remove all or part of the stomach.
Stage I Stomach Cancer
- Surgery (total or subtotal gastrectomy).
- Surgery (total or subtotal gastrectomy) followed by chemoradiation therapy.
- A clinical trial of chemoradiation therapy given before surgery.
Stage II Stomach Cancer
- Surgery (total or subtotal gastrectomy).
- Surgery (total or subtotal gastrectomy) followed by chemoradiation therapy.
- Chemotherapy given before and after surgery.
Stage III Stomach Cancer
- Surgery (total gastrectomy).
- Surgery followed by chemoradiation therapy.
- Chemotherapy given before and after surgery.
Stage IV Stomach Cancer
Treatment of stage IV stomach cancer that has not spread to distant organs may include the following:
- Surgery (total gastrectomy) followed by chemoradiation therapy.
- A clinical trial of chemoradiation therapy given before surgery.
Treatment of stage IV stomach cancer that has spread to distant organs may include the following:
- Chemotherapy as palliative therapy to relieve symptoms and improve the quality of life.
- Endoscopic laser surgery or endoluminal stent placement as palliative therapy to relieve symptoms and improve the quality of life.
- Radiation therapy as palliative therapy to stop bleeding, relieve pain, or shrink a tumor that is blocking the opening to the stomach.
- Surgery as palliative therapy to stop bleeding or shrink a tumor that is blocking the opening to the stomach.
Reference:
National Cancer Institute, USA.
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