How is tx of gastric adenocarcinoma?

Surgical resection is the only curative treatment for gastric cancer. Aggressive surgical resection (in the absence of distant metastases). Need negative margins: at least 5 cm from tumor margins. Extended lymphadenectomy . Procedure: by location of tumor Proximal tumors :Total gastrectomy Distal tumors: Subtotal gastrectomy Total gastrectomy: no difference from subtotal (cure) WITH LYMPHADENECTOMY Chemotherapy: Sometimes used palliatively for nonsurgical candidates; PROGNOSIS Prognosis depends on stage of disease. Overall 5-year survival is still only 5–15%.