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Surgical treatment

Radical surgery

R0

: definition

T:

Total Gastrectomy or Partial Gastrectomy

distance of (clear) surgical margin

from the

T

:

4+ cm

N:

lymphadenectomy

extend to the next

N-

level over the last posive nodes

(e.g.

D1 if N0, D2 if N1

)

Japanese Gastric Cancer Association Gastric Cancer - 2011