NCCN Guidelines for Patients
Stomach Cancer, Version 1.2016
Very early cancer
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.
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
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,