What questions should I ask my oncologist about Stomach Cancer

Important Questions to Ask Your Oncologist About Stomach Cancer

I'm glad you're preparing to have a thorough conversation with your care team. Asking the right questions is one of the most important things you can do to understand your diagnosis and treatment options.

UNDERSTANDING YOUR DIAGNOSIS & STAGING

1. Can you explain my cancer stage and what that means for my treatment?

• Ask your doctor to explain the TNM staging system (Tumor size, Node involvement, Metastasis/spread)
• Understanding whether your cancer is localized (contained to the stomach) or has spread helps determine your treatment options

2. Has my tumor been tested for specific genetic mutations or biomarkers?

• Certain stomach cancers have specific mutations (like HER2 status) that can guide treatment choices
• Ask about molecular profiling or genetic testing of your tumor tissue
• These tests can identify whether targeted therapies might be effective for your specific cancer

3. What type of stomach cancer do I have?

• Ask about the histology (cell type) - is it adenocarcinoma, signet ring cell, or another type?
• Different types may respond differently to treatment

TREATMENT PLANNING

4. What is the goal of my treatment?

• Is the goal to cure the cancer, extend survival, or manage symptoms?
• Understanding the realistic objectives helps you make informed decisions about your care
• Ask about quality of life considerations alongside treatment goals

5. What treatment options are available for my specific stage and type of cancer?

• Common approaches for stomach cancer include surgery, chemotherapy, radiation, and sometimes targeted therapy or immunotherapy
• Ask which options your doctor recommends and why
• Ask about the order of treatments (for example, chemotherapy before surgery, called neoadjuvant therapy)

6. If surgery is recommended, what will the procedure involve?

• Will part or all of your stomach be removed?
• What organs or tissues might be affected?
• What are the short-term and long-term effects on digestion and nutrition?

7. What chemotherapy regimen are you recommending, and why this one?

• Different drug combinations work for different patients
• Ask about the specific drugs, how often you'll receive treatment, and how long treatment will last
• Understanding the "why" helps you feel more confident in your treatment plan

SIDE EFFECTS & MANAGING TREATMENT

8. What side effects should I expect—both short-term and long-term?

• Different treatments cause different side effects
• Ask specifically about fatigue, nausea, appetite changes, digestive issues, and neuropathy (nerve damage)
• Ask how long side effects typically last and what can be done to manage them

9. How will treatment affect my ability to eat and digest food?

• Stomach cancer and its treatment can significantly impact nutrition
• Ask about meeting with a registered dietitian who can help you maintain nutrition during treatment
• Ask about pancreatic enzyme supplements if relevant to your situation

10. Are there medications or strategies to help manage specific side effects?

• For nausea, appetite loss, fatigue, pain, or other symptoms
• Ask what you should do if side effects become severe

MONITORING & FOLLOW-UP

11. How will we know if the treatment is working?

• Will you have blood tests, imaging scans (CT, PET), or other monitoring?
• How often will you have these tests?
• What specific markers or findings indicate good response to treatment?

12. What should I watch for, and when should I call you?

• Know the warning signs that need immediate attention
• Understand which side effects are expected versus which need medical evaluation

CLINICAL TRIALS & ADVANCED OPTIONS

13. Are there clinical trials available for my type and stage of stomach cancer?

• Clinical trials may offer access to newer treatments
• Ask about eligibility, what participation involves, and potential benefits or risks
• Ask if travel or time off work would be required

14. Should I see a genetic counselor?

• Some stomach cancers are linked to inherited genetic mutations
• Genetic testing may reveal treatment options specific to your cancer's genetics
• Family history matters—make sure your doctor knows about any cancer in your family

BUILDING YOUR CARE TEAM

15. Who should I contact with questions between appointments?

• Know the best way to reach your team
• Understand response timeframes for different types of questions

16. Should I get a second opinion?

• Stomach cancer is complex, and second opinions can help you feel confident in your treatment plan
• Ask your doctor for a referral to another specialist if you want additional input

17. What support services are available to me and my family?

• Nutritional support
• Mental health counseling or support groups
• Palliative care (comfort-focused care that works alongside treatment)
• Social work services to help with practical concerns

LIFESTYLE & RECOVERY

18. What can I do beyond treatment to improve my outcome?

• Ask about exercise—research suggests regular physical activity can help during cancer treatment
• Ask about nutrition and dietary changes
• Ask about managing stress and emotional health

19. How will treatment affect my daily life?

• Work, family responsibilities, driving, intimacy
• Understanding practical impacts helps you plan ahead

20. What happens after treatment ends?

• What follow-up care will I need?
• How often will I have check-ups?
• What long-term side effects should I watch for?

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TIPS FOR YOUR APPOINTMENT

✓ Bring a notebook or recording device - Write down answers or ask permission to record the conversation so you can review it later

✓ Bring a trusted person - A family member or friend can help you listen, take notes, and remember important information

✓ Write down your questions beforehand - This helps you remember everything you want to ask

✓ Don't hesitate to ask for clarification - If your doctor uses medical terms you don't understand, ask them to explain in simpler language

✓ Ask for written materials - Request handouts or resources about your diagnosis and treatment options

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IMPORTANT RESOURCES

While the guidelines I have access to focus primarily on pancreatic cancer treatment principles, many of those same frameworks apply to stomach cancer care. For stomach cancer-specific guidelines, I recommend asking your oncologist about:

• NCCN (National Comprehensive Cancer Network) Guidelines for gastric cancer
• American Cancer Society resources on stomach cancer
• ASCO (American Society of Clinical Oncology) treatment recommendations

Your oncologist should be familiar with these evidence-based guidelines and can explain how they apply to your specific situation.

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This information is for educational purposes only. Always consult your healthcare team for personalized medical advice and decisions.