Patient: male, 72 years old. in November 2010, he developed symptoms of gastrointestinal obstruction and reflux when drinking porridge. Gastric cancer was detected by gastroscopy on February 7, 2011, and surgery was performed on February 11, 2011. Pathology: ulcerative mucinous cell carcinoma with partial differentiation of mucinous adenocarcinoma, infiltrating the whole layer. No cancer involvement was seen in the upper and lower cut margins. Cancer metastasis was seen in 1/3 of small curved lymph nodes, 5/6 of large curved lymph nodes and 1/1 of marker 6 group lymph nodes and 1/3 of marker 8 group lymph nodes. Two cancer nodes were seen on the side of the lesser curvature. The marked transverse colonic mesenteric nodes and free nodes were all cancerous nodes. Immunohistochemistry: CEA+, CK8/18+, C-erbB-2-, Ki67 positive index was about 50%. He underwent surgery in Yantai on February 11, 2011 and is currently in the process of recovery from surgery. The patient has not eaten for many days, is weak, 165 height and 100 pounds. What period of cancer does the current condition belong to? Whether the patient can tolerate chemotherapy, chemotherapy regimen. And the post-operative review protocol. Doctor: What was seen intraoperatively is not known, so the staging is not very accurate. I can only give an approximate evaluation: hypofractionated adenocarcinoma of the stomach, pathological stage: T4bN3aM0.Stage IIIc. Adjuvant chemotherapy is needed. The duration should be six months. The review protocol is routine blood, liver and kidney function, CEA, CA199, chest X-ray, abdominal ultrasound or CT.