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58

NCCN Guidelines for Patients

®

Stomach Cancer, Version 1.2016

Guide 8. Next treatment after pre- or perioperative treatment + surgery

Surgical results

Pathologic stage

What are my options?

No cancer is in the surgical margin

Any T, N0, M0

• Start follow-up care, or

• Chemotherapy if received before surgery

Any T, N1–N3, M0 • Chemotherapy if received before surgery

Cancer is in the surgical margin

Any

• Chemoradiation if not received before surgery

Some cancer remains in or near

your stomach

Any

• Chemoradiation if not received before surgery,

or

• Supportive care

Cancer is found in distant sites

Any

• Supportive care

5

Treatment guide

Locoregional cancer