Treatments for stage 1 stomach cancer
Surgery is the main treatment for stage 1 stomach cancer. For stage 1A stomach cancer, surgery is usually the only treatment needed.
A gastrectomy removes all or part of the stomach. Some lymph nodes around the stomach are also removed (called a lymph node dissection). This is the most common type of surgery done to treat stage 1 cancer. The type of gastrectomy done depends on the size of the tumour and where the cancer is within the stomach.
An endoscopic resection (ER) uses an
A limited surgical resection removes a section of the stomach wall that contains the abnormal area along with some healthy tissue around it (called the surgical margin). This may be used to treat small tumours (smaller than 3 cm) without any ulceration (no open wound).
Chemoradiation or chemotherapy @(Model.HeadingTag)>
- chemoradiation after surgery (adjuvant chemoradiation)
- chemotherapy alone after surgery (adjuvant chemotherapy)
- chemotherapy both before and after surgery (perioperative chemotherapy)
Fluorouracil (also called 5-fluorouracil or 5-FU) is often used alone or in combination with other drugs for stage 1 stomach cancer.
Clinical trials @(Model.HeadingTag)>
Michael Sanatani, MD, FRCPC
Alberta Health Services. Clinical Practice Guideline GI-008 Version 4: Gastric Cancer. Edmonton, AB: 2016: https://www.albertahealthservices.ca/.
Cancer Care Ontario. Evidence-Based Series 2-19: Staging and Surgical Approaches in Gastric Cancer. 2017: https://www.cancercareontario.ca/en.
National Comprehensive Cancer Network . NCCN Clinical Practice Guidelines in Oncology: Gastric Cancer (Version 1.2019). https://www.nccn.org/home.