Small stage 1 stomach cancers often can be cut away from the inner lining of the stomach. But if the cancer grows into the muscle layer of the stomach wall, this might not be an option. Some stage 1 cancers may need surgery to remove all of or some of the stomach. For stage 2 and stage 3 stomach cancers, surgery might not be the first treatment. Chemotherapy and radiation therapy might be used first to shrink the cancer. This might make it easier to remove the cancer completely. Surgery often involves removing some or all of the stomach and also some lymph nodes. If stage 4 stomach cancer grows through the stomach and into nearby organs, surgery might be an option. To remove all of the cancer, parts of the nearby organs might be removed, too. Other treatments might be used first to shrink the cancer. If stage 4 cancer can't be removed completely, surgery might help control symptoms.
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