Treatments for stage 1 stomach cancer
Surgery is the standard treatment for stage 1 stomach cancer.
Endoscopic mucosal resection @(Model.HeadingTag)>
Endoscopic mucosal resection (EMR) is a very specialized surgery used to treat small (less than 2 cm) early stage stomach cancer like stage 1A that has not spread deeply into the inner lining (mucosa) of the stomach. EMR is done using an
Limited surgical resection @(Model.HeadingTag)>
A limited surgical resection is surgery that removes a section of the stomach wall that contains the tumour along with a healthy margin around the tumour.
A gastrectomy to remove all or part of the stomach is the most common type of surgery to treat stage 1 cancer.
Lymph node dissection @(Model.HeadingTag)>
A lymph node dissection may be done to remove lymph nodes around the stomach for stage 1 stomach cancer.
Chemotherapy may be offered for stage 1B stomach cancer. Chemotherapy may be given after surgery (adjuvant therapy) or both before and after surgery (perioperative chemotherapy). It may also be given over the same time period as radiation (called chemoradiation). The most common combinations of chemotherapy drugs given for stage 1 stomach cancer are:
- 5-fluorouracil (Adrucil, 5-FU) and leucovorin (folonic acid)
- ECX – epirubicin (Pharmorubicin), cisplatin (Platinol AQ) and capecitabine (Xeloda)
- ECF – epirubicin, cisplatin and 5-fluorouracil
- 5-fluorouracil and cisplatin
- paclitaxel (Taxol) and carboplatin (Paraplatin)
Radiation therapy may be offered for stage 1B stomach cancer along with chemotherapy. The type of radiation therapy used most often is external beam radiation therapy.
Alberta Health Services. Gastric Cancer. Alberta Health Services; 2013.
American Cancer Society. Stomach Cancer. Atlanta, GA: American Cancer Society; 2014: http://www.cancer.org/acs/groups/cid/documents/webcontent/003141-pdf.pdf.
American Society of Clinical Oncology (ASCO). Stomach cancer. Alexandria, VA.: American Society of Clinical Oncology (ASCO); 2014.
Avital, I. et al . Cancer of the stomach. DeVita VT Jr, Lawrence TS, & Rosenberg SA. Cancer: Principles & Practice of Oncology. 9th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011: 80: pp. 924-954.
BC Cancer Agency (BCCA). Stomach Cancer Management Guidelines. BC Cancer Agency; 2013: http://www.bccancer.bc.ca/HPI/CancerManagementGuidelines/Gastrointestinal/02.Stomach/default.htm.
National Cancer Institute. Gastric Cancer Treatment (PDQ®) Patient Version. Bethesda, MD: National Cancer Institute; 2014.
National Comprehensive Cancer Network. Gastric Cancer (Version 1.2014). National Comprehensive Cancer Network; 2014.