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56

NCCN Guidelines for Patients

®

Stomach Cancer, Version 1.2016

Guide 7. Next treatment after surgery only

Surgical results

Pathologic stage

What are my options?

No cancer is in the surgical margin

T1b, N0, M0

• Start follow-up care

T2, N0, M0

• Start follow-up care, or

• Chemoradiation if cancer is likely to return

T1, N1–N3, M0

T2, N1–N3, M0

T3, Any N, M0

T4, Any N, M0

• Chemoradiation, or

• Chemotherapy if D2 lymph nodes removed

Cancer is in the surgical margin Any

• Chemoradiation

Some cancer remains in or near

your stomach

Any

• Chemoradiation, or

• Supportive care

Cancer is found in distant sites

Any

• Supportive care

5

Treatment guide

Locoregional cancer