Gastric Cancer Nomogram: Disease-Specific Survival Following Surgery

Prediction Tools: DisclaimerThe prediction tools, also known as prognostic nomograms, located on the MSK Web site are for general health information only. The prediction tools are not to be used as a substitute for medical advice, diagnosis, or treatment of any health condition or problem.Users of the prediction tools should not rely on information provided by the prediction tools for their own health problems. Questions should be addressed to your own physician or other healthcare provider.MSK makes no warranties, nor express or implied representations whatsoever, regarding the accuracy, completeness, timeliness, comparative or controversial nature, or usefulness of any information contained or referenced in the prediction tools. MSK does not assume any risk whatsoever for your use of the prediction tools or the information contained herein. Health related information changes frequently and therefore information contained in the prediction tools may be outdated, incomplete or incorrect.Use of the prediction tools does not create an express or implied physician-patient relationship. MSK does not endorse or claim validity for the prediction tools found on the MSK Web site. The activities and products of MSK and its developers and agents (collectively MSK) are not endorsed by our past, present, or future employers. MSK does not record specific prediction tool user information and does not contact users of the prediction tools.You are hereby advised to consult with a physician or other professional healthcare provider prior to making any decisions, or undertaking any actions or not undertaking any actions related to any healthcare problem or issue you might have at any time, now or in the future. In using the prediction tools, you agree that neither MSK nor any other party is or will be liable or otherwise responsible for any decision made or any action taken or any action not taken due to your use of any information presented in the prediction tools.

Our gastric (stomach) cancer nomogram is a tool designed to predict the likelihood of surviving gastric cancer for five years and nine years after surgical treatment for the disease. This nomogram is appropriate for patients who have had a complete resection (surgical removal of all cancerous tissue) as their only treatment for gastric cancer. It may not be appropriate for patients who have received chemotherapy or radiation therapy before or after a complete resection for gastric cancer.

Results produced by this tool are based on data from patients treated at MSK, a large research institution with surgeons who perform a high volume of gastric (stomach) cancer procedures. This tool has been evaluated and externally validated by two independent, high-volume gastric cancer centers (see Supporting Publications). All results must be understood in the context of each patient’s specific treatment plan. Patients and caregivers using this tool should discuss the result with the patient’s physician.

To gather the information required to use this nomogram, use our worksheet.

Enter Your Information

All fields are required unless noted optional

How old are you? years (20 to 99)

What was the size of your tumor? cm (0.1 to 20)

Note: If the tumor size is less than 0.1 cm, enter as 0.1 cm.

Are you male or female?

Where was your tumor located?

What was the specific Lauren histotype of your gastric (stomach) cancer from the pathology report?

What is histology?: Histology refers to the exact type of cancer based on examination of the tumor tissue under the microscope. Using the Lauren classification system, gastric (stomach) cancer is classified as Diffuse, Intestinal, or Mixed (having both diffuse and intestinal growth patterns).

To what level within the stomach did your tumor penetrate?

What was the number of lymph nodes that were found to be positive (cancerous) from the pathology report? (0 to 60)

What are lymph nodes?: Lymph nodes are rounded masses of tissue that act as filters for a fluid called lymph. Lymph nodes are located along lymphatic vessels, and they store lymphocytes (white blood cells).

What was the number of lymph nodes that were found to be negative (not cancerous) from the pathology report? (0 to 70)

Clear

Supporting Publications

Probability of Gastric Cancer-Specific Survival After Complete Resection

Probability of disease-specific survival up to nine years after complete removal of gastric cancer

Source publication listed first, followed by external validation studies

Kattan MW, Karpeh MS, Mazumdar M, Brennan MF. Postoperative nomogram for disease-specific survival after an R0 resection for gastric carcinoma. J Clin Oncol. 2003 Oct 1;21(19):3647-50. doi: 10.1200/JCO.2003.01.240. PMID: 14512396.

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Supporting Publications

Probability of Gastric Cancer-Specific Survival After Complete Resection