Is surgery alone sufficient for treating T1 gastric cancer with extensive lymph node metastases?

ConclusionspT3N0 and large pT1N2 with a diameter  ≥ 30 mm had an excellent prognosis, while pT1N2-3 with at least N3a/b or a tumor diameter <  30 mm showed a relatively poor prognosis. These patients may be candidates for adjuvant chemotherapy.
Source: Gastric Cancer - Category: Gastroenterology Source Type: research