Revised 31 July 2019
For those with localized disease, resection of the primary tumour and regional lymph nodes is done with curative intent. A minimum of D1 and preferably D2 level of dissection is recommended. As relapse rates remain high, referral to a Medical Oncologist prior to surgery for consideration of peri-operative chemotherapy is strongly recommended.
For those with metastatic disease, palliative resection or bypass of the primary tumour is reserved for those with significant bleeding or obstruction.