system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 58 year old lady is diagnosed to have carcinoma stomach. CT scan of abdomen showed a mass measuring 4 cm mass in the antrum with involvement of serosa. What is the treatment?
assistant
The correct answer is  For tumours distally placed in the stomach, it appears unnecessary to remove the whole stomach. Distal gastrectomy is choiceFor proximal tumours total gastrectomy is done.Palliative, chemotherapy are choice in non operable cancers.Non operabilityHaematogenous metastases,Involvement of the distant peritoneum, N4 nodal disease and disease beyond the N4 nodes, and Fixation to structures that cannot be removed.Bailey and Love 27e pg: 1132