Lowy et al used an algorithm to determine management of patients with gastric cancer.
Finding on Diagnostic Evaluation
Management
bleeding or obstruction
resect
metastatic disease on physical examination
palliative care or enroll in Phase I or II clinical trial
metastatic disease on CT scan
metastatic disease on laparoscopy
no evidence of metastatic disease on physical exam, CT scan and laparoscopy
preoperative therapy protocol followed by resection
where:
• After resection for bleeding or obstruction I assume the patient is given palliative care or enrolled in a clinical trial.
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Specialty: Hematology Oncology, Surgery, general, Gastroenterology
ICD-10: ,
