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A word about tumor location
This protocol DOES NOT apply to:
1) Carcinomas involving the EGJ, with tumor midpoint >2 cm into the proximal stomach (use CAP protocol for gastric cancer)
2) Carcinomas of the cardia/proximal stomach without involvement of the EGJ even if tumor midpoint is ≤2 cm into the proximal stomach (use CAP protocol for gastric cancer)
3) Lymphomas, gastrointestinal stromal tumors, and sarcomas.
Relationship of Tumor to Esophagogastric Junction
Tumor Size (cm)
Closest margin to invasive carcinoma and distance(mm)
A word about scoring treatment effect
using the modified Ryan scoring system
+ Perineural Invasion
Regional Lymph Nodes
Pathologic Staging (pTNM)
TNM Descriptors (select all that apply)
+ Additional Pathologic Findings (select all that apply