I recently underwent distal gastrectomy, but I have been diagnosed with poorly differentiated infiltrating adenocarcinoma. What is the treatment?

Q. What is the treatment for a person who has undergone distal gastrectomy and has been diagnosed with poorly differentiated infiltrating adenocarcinoma?

Answered by
Dr. Pawar Satyajit Jalinder
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 20, 2023

Hello doctor,

I am a 59-year-old female. My height is 4 feet 8 inches and my weight is 79 kilograms. Recently I have undergone distal gastrectomy, following which my distal body has been diagnosed as pT2, N0, MX. Further findings are infiltrating adenocarcinoma stomach, poorly differentiated type, perineural invasion, the tumor has infiltrated the muscularis propria, and all nodes are free from tumor. I have a history of a thyroid problem, backbone slip disc and sciatica problem, and skin rashes or allergy problems. Is this curable?

Please help.



Welcome to icliniq.com.

Thank you for your query.

I would need to know the following details:

  1. What is the grade of the tumor?
  2. Was lymph node dissection adequate?
  3. What is the size of the tumor?
  4. What are the final staging and metastatic workups?

For that, I would need to have a look at the post-surgery histopathology report and surgery details as well as pre and post-surgery CT (computed tomography) scan or PET-CT (positron emission tomography-computed tomography) scan.

As far as the above information, your stage is IB. Treatment includes surgical dissection which you have already undergone followed by adjuvant chemotherapy if high-risk features are present.

Overall 55 to 60 % of patients of your stage will get cured with this approach.

I hope this has helped you.

Thank you.

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