1. Do all gastric cancers need surgical treatment?
We can not simply answer such a question with "yes" or "no". It is necessary to decide that surgical treatment is one of the main ways for patients with gastric cancer according to the specific conditions of patients with gastric cancer, and it may also be the only treatment for early gastric cancer, but not all gastric cancers are suitable for surgical treatment. As a treatment of trauma, surgery needs to strictly grasp the surgical indications and contraindications.2. Do you also need surgery for tiny gastric cancer?Some patients through gastroscopy found that the focus of gastric cancer is very small, will ask the doctor, whether the small focus is early gastric cancer, early gastric cancer does not need surgery. The answer is, of course, no. At present, the international general guidelines clearly point out that the staging of gastric cancer has nothing to do with the size of gastric cancer lesions, and the clinical staging of gastric cancer is judged by the depth of invasion of the cancer tissue (the gastric wall is divided into four layers, according to which layer the gastric cancer cells invade into the gastric wall). Not the size of the lesion. If the focus is small and the focus is limited to the mucous membrane or submucosa, endoscopic treatment can be considered. If the depth of invasion reaches the lamina propria, standard gastric cancer surgery must be performed even if the focus of gastric cancer is very small.
