Question 468 · LEK · Gastric cancer

Select the first-line treatment in a patient with gastric adenocarcinoma without submucosal infiltration and at minimal risk for metastases:

  1. A. gastric sleeve surgery.
  2. B. tumour cryoablation.
  3. C. H. pylori eradication with endoscopic follow-up in 6 months.
  4. D. submucosal dissection of the tumour.
  5. E. Nissen surgery.
Hint

A cancer confined to the mucosa with negligible nodal risk can be removed en bloc without opening the abdomen.

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