Q. What can be done for stomach cancer metastases to six lymph nodes?

Answered by
Dr. Satyajit Jalinder Pawar
and medically reviewed by iCliniq medical review team.
Published on Oct 09, 2018

Hello doctor,

My father had surgery a month back for stomach cancer bleeding tumor and in the histopathological report after surgery showed that metastatic deposits of the tumor have been found in six lymph nodes. I request you to kindly advice what would be the best possible treatment in this scenario.

Dr. Satyajit Jalinder Pawar

General Medicine Internal Medicine Medical Oncology


Welcome to icliniq.com.

As seen in your reports, your father had stomach cancer, which is stage III. He will definitely need further treatment to avoid recurrence of the tumor. Usually, treatment should be started within 6 to 8 weeks. He has two options: Only chemotherapy or Chemotherapy and radiotherapy. Before that, I would advise you for CT scan and tumor markers like CEA and CA 19.9 to look for any evidence of residual disease at four weeks after surgery as residual disease after surgery will be taken as high risk. If you are able to get a PET CT then it is better.

There are certain poor markers in his tumor (attachment removed to protect patient identity) like signet ring histology, lymphovascular and perineural invasion, node positivity, and a bit close margin. These all factors make him a high risk for recurrence. Though there is no definite advantage of chemo and radio vs chemo only, those who are at high risk for recurrence benefit from chemo and radio. So in his case, I would opt for chemo and radiotherapy. But before going ahead with this, I will definitely need to assess the patient's general condition and how he is taking his nutrition. Whether he is fit to receive this treatment. Otherwise, I would opt for chemotherapy only. Therefore, I would advise you to take further treatment at the center which has both facilities.

Depending on what type of chemo regime is followed the duration of treatment will be around six months. On an average, around 50 % patient with stage III stomach cancer will be alive at the end for three years if they receive adequate treatment.

Was this answer helpful?


Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

Do you feel that the enhancement of a rib on MRI is due to metastasis?

Query: Hi, I had a routine MRI for the history of treated breast cancer, and that showed enhancement on a rib. What would cause this? I had rib pain following a bad cough and cold.  Read Full »

Brother-in-law got a stent for stomach cancer and still not able to eat. Why?

Query: Hi doctor, My brother-in-law has stomach cancer of a genetic type and the doctors were going to take his entire stomach out. My brother-in-law was constantly vomiting and could not keep food or even liquid down. So, the doctor put a stent in before 8 days and he had intense pain till two days. Now, ...  Read Full »

Will excision biopsy remove the nodal metastasis in nasopharyngeal carcinoma?

Query: Hi doctor, My son was recently diagnosed with nasopharyngeal carcinoma stage 3. He had undergone 35 sessions of IMRT as well as six sessions of chemotherapy. Three more sessions of chemotherapy have been prescribed and the first one was completed last week. Two more to go in three weeks time. Recen...  Read Full »



Ask your health query to a doctor online?

Ask a Medical Oncologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.



Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.