Total gastrectomy is the only way of treatment for:: (A) Proximal cancer, (B) Distal cancer, (C) Ulcerating cancer in the body, (D) Polypoidal cancer in the antrum
Answer is A. Ans. (a) Proximal cancerRef: Sabiston 20th Edition, Page 1224* Margin clearance needed proximally n cancer stomach is6cm - hence needed Total gastrectomy.(NCCN recommends 4cm margin clearance)