Surgery is the best treatment option for the cure of adenocarcinomas. This involves removal of the tumor and any adjacent lymph nodes. However, this is only possible for one-third of patients. Usually, a subtotal gastrectomy is done for patients with distal stomach cancer and a total or near-total gastrectomy for more proximal tumors. In the US, the 5-year survival rate for those undergoing a complete resection of a gastric cancer is 20% for distal tumors and 10% for proximal tumors. Radiotherapy has very limited value but it can be used as a palliative measure.

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