If the CT examination after gastric cancer surgery shows thickening of soft tissue around abdominal trunk with small lymph nodes, it may be metastatic foci, and it is suggested that the patient should have enhanced CT examination and PET-CT examination if necessary.
Gastric cancer is more likely to have local metastasis or recurrence after surgery, which is related to the malignant degree of the tumor. CT examination shows that there are small lymph nodes and local tissue thickening in the abdominal trunk, which suggests that the possibility of metastasis is relatively large.
It is suggested that patients should do enhanced CT examination of abdomen to further judge, and if necessary, they can do thin-layer CT scanning, at the same time, they also need to check the tumor indexes, such as carcinoembryonic antigen, alpha-fetoprotein, CA199 and so on, to know the recurrence situation of the tumor, if the tumor indexes are elevated, it suggests that the possibility of recurrence is very high.
In addition, it is suggested that patients can do PET-CT examination, through the whole body scanning, can further understand whether the local lymph nodes are metastatic foci.
Therefore, it is recommended that patients should go to the hospital for review in time to further clarify the diagnosis.