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Stage IV Gastric Cancer AJCC v6
Cancer has spread (1) to organs next to the stomach and to at least one lymph node, or (2) to more than 15 lymph nodes, or (3) to other parts of the body. (NCI Dictionary)
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Cancer has spread to distant parts of the body.
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Cancer has spread to lymph nodes and/or organs far away from the extrahepatic bile duct.
Cancer has spread to other parts of the body.
