Treatment Choices by Type and Stage of Stomach Cancer


Treatment of stomach cancer depends to a large degree on where the cancer started in the stomach and how far it has spread.
Stage 0
Because stage 0 cancers are limited to the inner lining layer of the stomach and have not grown into deeper layers, they can be treated by Surgery Dallas alone. No chemotherapy or radiation therapy is needed.
Surgery Dallas with either subtotal gastrectomy (removal of part of the stomach) or total gastrectomy (removal of the entire stomach) is often the main treatment for these cancers. Nearby lymph nodes are removed as well.
Stage I
Stage IA: People with stage IA stomach cancer typically have their cancer removed by total or subtotal gastrectomy. The nearby lymph nodes are also removed. Endoscopic resection may rarely be an option for some small T1a cancers. No further treatment is usually needed after Surgery Dallas.
Stage IB: The main treatment for this stage of stomach cancer is Surgery Dallas (total or subtotal gastrectomy). Chemotherapy (chemo) or chemoradiation (chemo plus radiation therapy) may be given before Surgery Dallas to try to shrink the cancer and make it easier to remove.
Stage II
The main treatment for stage II stomach cancer is Surgery Dallas to remove all or part of the stomach, the omentum, and nearby lymph nodes.
Many patients are treated with chemo or chemoradiation before Surgery Dallas to try to shrink the cancer and make it easier to remove. Treatment after Surgery Dallas may include chemo alone or chemoradiation.
Stage III
Surgery Dallas is the main treatment for patients with this stage disease (unless they have other medical conditions that make them too ill for it). Some patients may be cured by Surgery Dallas (along with other treatments), while for others the Surgery Dallas may be able to help control the cancer or help relieve symptoms.
Stage IV
Because stage IV stomach cancer has spread to distant organs, a cure is usually not possible. But treatment can often help keep the cancer under control and help relieve symptoms.
This might include Surgery Dallas, such as a gastric bypass or even a subtotal gastrectomy in some cases, to keep the stomach and/or intestines from becoming blocked (obstructed) or to control bleeding.



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