Patient’s question: Disease: (gastric sinus) medium differentiated adenocarcinoma Description:My father is 79 years old, he felt abdominal pain in October last year, went to the first hospital affiliated to Xiamen for CT and found that it might be gastric cancer, the doctor suggested to do gastroscopy with pathology for further examination, the result of gastroscopy was possible gastric sinus cancer, but the pathology was gastric ulcer, it was suggested to re-slice pathology, because of his age, the family discussed to first press the ulcer On March 30, 2015, I went to the hospital for a follow-up examination and the gastroscopy result was (gastric sinus) moderately differentiated adenocarcinoma. I would like to ask for help:What is the extent of this? Does it have to be operated? Do I need chemotherapy after surgery? The old man also has a bad heart, so we haven’t told him the result yet. If surgery is required, will the old man be able to withstand this kind of torment? Medication: Name of the drug: Saiguan capsule + rabeprazole sodium enteric solution + Rebapet tablets + Mosapride citrate Dosing instructions: eaten for 6 months, often diarrhea. Hospital reply: First of all, the information you gave me can only indicate that it is now ulcerated gastric cancer in the sinus and the tumor is not large; it cannot indicate the stage of the tumor, whether it is operable or not and whether the patient can tolerate the surgery or not. Secondly, as the diagnosis of tumor, we must clarify the size, location, relationship with surrounding tissues and organs, and whether there is metastasis from other organs. I can answer your question only if the information is complete. Fourth, the first choice of treatment is surgical resection, as long as the patient’s physical foundation can be met. Whether chemotherapy, determine survival and other questions can only be answered after the surgical removal of the stomach lesion. Good luck! Patient question: Thank you for your busy reply. Okay, I’m going to have a full CT exam next Monday. I didn’t pass the EKG, and I had coronary artery disease and diabetes before. Hospital Response: Okay, waiting for your news Hospital Response: Now start managing diabetes and adjusting treatment Hospital Response: Thank you for your encouragement.