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Advanced stomach cancer

What is advanced stomach cancer?

Advanced stomach cancer means that a cancer that began in the stomach has spread to at least one other part of the body, such as the liver or lungs. It is also called metastatic stomach cancer. 

What is advanced stomach cancer?

Unfortunately advanced cancer can’t usually be cured. But treatment might control it, help symptoms, and improve your quality of life for some time.

Sometimes cancer is advanced when it is first diagnosed. Or the cancer has come back and spread after treatment for the original cancer.

Cancers that have spread to another part of the body are called:

  • secondary cancer

  • metastases

  • metastatic cancer

Doctors also describe how advanced stomach cancer is by using the number staging system. Advanced cancer is stage 4 in the number staging system.

Read more about stage 4 cancer and its treatment

Locally advanced cancer

Locally advanced cancer is cancer that has grown into the tissues around the stomach, or into nearby organs. It might be stage 3 or stage 4 in the number staging system. It is different to advanced cancer.

Where stomach cancer spreads

Stomach cancer can spread to the:

  • liver

  • lymph nodes

  • tissue lining the abdominal cavity (peritoneum)

  • lungs

Diagram showing stomach cancer that has spread to distant body parts.

How you might feel

Finding out that you can’t be cured is distressing and can be a shock. It’s common to feel uncertain and anxious. It's normal to not be able to think about anything else.

Lots of information and support is available to you, your family and friends. Some people find it helpful to find out more about their cancer and the treatments they might have. Many people find that knowing more about their situation can make it easier to cope.

Talk to your doctor or specialist nurse to understand:

  • what your diagnosis means

  • what is likely to happen

  • what treatment is available

  • how treatment can help you

  • what the side effects of the treatment are

You might feel that you don’t want to know much information straight away. Tell your doctor or nurse. You will always be able to ask for more information when you are ready.

Everyone is different and there is no right way to feel.

Survival

Many people want to know what the outlook is and how their cancer will develop. This is different for each person. Your cancer specialist has all the information about you and your cancer. They're the best person to discuss this with.

You can also talk to your specialist nurse.

We have some general information about survival for stomach cancer if this is something you want to read about.

Survival for stomach cancer

Last reviewed: 29 Apr 2025

Next review due: 29 Apr 2028

Survival for stomach cancer

Survival depends on many factors including the stage of your stomach cancer when you are diagnosed and how it has responded to treatment. The figures for stomach cancer survival can only be used as a general guide.

Symptoms of advanced stomach cancer

The symptoms of advanced stomach cancer depend on what part of the body the cancer has spread to.

Tests for stomach cancer

You might have a number of tests to help diagnose stomach cancer and to find out the stage. This includes a test to look inside your stomach (gastroscopy) and you may have some scans.

Treatment for stomach cancer

Your treatment depends on whereabouts your cancer is in the stomach. How big it is, whether it has spread anywhere else in your body and your general health.

Coping with stomach cancer

Coping with cancer can be difficult. Help and support is available. There are things you can do, people to help and ways to cope with a diagnosis of stomach cancer.

Stomach cancer main page

Stomach cancer is cancer that starts anywhere inside the stomach or the stomach wall. It’s also called gastric cancer.

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