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53

NCCN Guidelines for Patients

®

Stomach Cancer, Version 1.2016

5

Treatment guide

Very early cancer

Guide 5

lists follow-up care after cancer treatment.

Follow-up care is started when there are no signs of

cancer after treatment. It is based on which cancer

treatment you had.

After EMR or ESD

EUS with upper GI endoscopy is needed. EUS with

an endoscopy finds cancer—if it returns—very well.

Four to six biopsies of abnormal spots are advised.

After surgery

Updates of your medical history and physical exams

should be done regularly. Blood tests, CT scans, and

upper GI endoscopies are only done when needed.

Due to surgery, you may not be getting enough

nutrients. You should be tested for low B12, iron,

and other levels. Treatment should be received as

needed.

Recurrence

The cancer may return during follow-up care. This is

called a recurrence. Treatment options are based on

where the cancer returned.

Cancer that returns near to where the stomach is (or

was) is called locoregional cancer. Surgery may be an

option if you are healthy enough.

Otherwise, supportive care is advised for locoregional

and metastatic cancer. Supportive care is addressed

in the section,

Metastatic cancer

.

5

Treatment guide

Very early cancer

52

NCCN Guidelines for Patients

®

Stomach Cancer, Version 1.2016

Guide 5. Follow-up care after cancer treatment

Cancer treatment Type of care

How often should I get this care?

EMR or ESD

EUS with upper GI

endoscopy

• Generally, every 6–12 months

Surgery

Medical history and

physical exam

• Every 3–6 months for 1–2 years

◦◦ If normal results, then repeat every 6–12 months for

3–5 years

◦◦ If normal results, then repeat every year

CBC and chemistry

profile

• As needed

CT with contrast of

chest and abdomen or

upper GI endoscopy

• As needed

Malnutrition testing

• On a regular basis