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Stomach Cancer Staging

American Cancer Society provides an update of 5-year relative survival statistics based on stomach cancer stages and it’s as follow:

Stomach Cancer Stage I: 88%--94%;

Stomach Cancer Stage II: 68%--82%;

Stomach Cancer Stage III: 18%--54%;

Stomach Cancer Stage IV: below 18%.

Early treatment is the important factors to improve the 5-year relative survival rate of stomach cancer. Doctors use staging information to help plan treatment and to predict a patient’s prognosis.

If you want to know more about the report on stomach cancer, you can make an appointment online or contact our KL office at 010 2066616 or Penang Office at 010 8988919, professional oncologists will help to answer your questions.


TNM system

The staging system most often used for stomach cancer is TNM.

In the TNM system:

The T refers to the size and extent of the main tumor. The main tumor is usually called the primary tumor.

T1, T2, T3, and T4: Refers to the size and/or extent of the main tumor. The higher the number after the T, the larger the tumor or the more it has grown into nearby tissues.

The N refers to the number of nearby lymph nodes that have cancer.

N1, N2, and N3: Refers to the number and location of lymph nodes that contain cancer. The higher the number is after the N, the more lymph nodes that contain cancer.

The M refers to whether the cancer has metastasized. This means that the cancer has spread from the primary tumor to other parts of the body.

M0: Cancer has not spread to other parts of the body.

M1: Cancer has spread to other parts of the body.

Stomach cancer stages and corresponding treatment

(The treatment for different stages of stomach cancer is only for reference.)

Stomach Cancer Stage 0: Tis (Carcinoma in situ), N0 stage, M0 stage; Cancer cells only present in the stomach

Treatment for stomach cancer stage 0: Surgical resection during endoscopy

Stomach Cancer Stage I: T1-T2, N0-N1, M0 ——Stage IA and stage IB;

Treatment for stomach cancer stage I: Surgery (gastrectomy), interventional therapy, photodynamic therapy, natural therapy, gene-targeted therapy, green chemotherapy, and traditional Chinese medicine and western medicine.

Stomach Cancer Stage II: T1-T4a, No-N3a, M0---Stage IIA and stage IIB

Treatment for stomach cancer stage II: Surgery (gastrectomy), interventional therapy, photodynamic therapy, natural therapy, gene-targeted therapy, green chemotherapy, and traditional Chinese medicine and western medicine.

Stomach Cancer Stage III: Any T and any N, M0-----Stage IIIA, stage IIIB and IIIC

Treatment for stomach cancer stage III: Surgery (gastrectomy), interventional therapy, photodynamic therapy, natural therapy, gene-targeted therapy, green chemotherapy, and traditional Chinese medicine and western medicine.

Stomach Cancer Stage IV: Any T and any N, M1---distant organs metastases

Treatment for stomach cancer stage IV: interventional therapy, photodynamic therapy, Nanoknife, cryotherapy, natural therapy, gene-targeted therapy, green chemotherapy, and traditional Chinese medicine and western medicine.

Stomach Cancer recurrence: Stomach cancer that recurs after treatment can be found in the stomach or in another part of the body.

Treatment for stomach cancer recurrence: Interventional therapy, photodynamic therapy, Nanoknife, cryotherapy, natural therapy, gene-targeted therapy, green chemotherapy, and traditional Chinese medicine and western medicine.

Want to know which kind of treatment is suitable for you? Consult online or call at 010 2066616 (KL Office) or 010 8988919 (Penang Office) to make an appointment for expert consultation and to get free professional treatment advice.

Different stages of stomach cancer have different treatments. In St. Stamford Modern Cancer Hospital Guangzhou, our Multidisciplinary Team (MDT) will tailor treatment for stomach cancer patients based on their body conditions and cancer stage, size and the location of the tumor, which will help stomach cancer patients save their stomach from resection, and avoid side effects of radiotherapy and chemotherapy.

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