[Verse 1] H. pylori carving grooves into the antral wall EBV hijacks the nucleus, diffuse type hits us all Diet high in salt and nitrates, prior Billroth scarred the fold CDH1 mutation — prophylactic gastrectomy, age told Laurén said intestinal grows in glands, diffuse floats free Signet rings don't form a mass, they infiltrate like debris Linitis plastica, leather bottle, Borrmann Type Four's the worst TCGA cut four subtypes — EBV, MSI first [Chorus] TNM staging, D-zwei Lymphadenektomie Schneid die Ränder sauber — frozen section, can't be free Resezione en bloc, margine netto, non cedere HER2, PD-L1, MSI — la chiave per guarire Stage it, cut it, sequence right — perioperative decree FLOT vier Zyklen vor, vier nach — das ist die Therapie [Verse 2] Siewert Type One goes thoracic, CROSS trial leads the call Type Two and Three go abdominal, gastric margins cover all MAGIC showed periop chemo works, ECF around the knife FLOT4 proved triplet docetaxel cuts deeper into life INT-0116 — adjuvant chemorad when surgery stands alone CLASSIC and ARTIST closed the Asian loop, capecitabine-owned Claudin 18.2, a tight junction turned target, zolbetuximab's door Checkpoint blockade for MSI-high — pembrolizumab at the fore [Chorus] TNM staging, D-zwei Lymphadenektomie Schneid die Ränder sauber — frozen section, can't be free Resezione en bloc, margine netto, non cedere HER2, PD-L1, MSI — la chiave per guarire Stage it, cut it, sequence right — perioperative decree FLOT vier Zyklen vor, vier nach — das ist die Therapie [Verse 3] D2 dissection spares the spleen unless invasion's there Dutch trial showed survival gain without the morbid snare Subtotal beats total when the distal margin's clear Laparoscopy first — cytology decides the frontier Positive washings shift the stage, M1 without a mass HIPEC and PIPAC — the evidence is thin as glass Palliative resection only when obstruction bleeds or blocks Early gastric, ESD criteria — submucosal depth unlocks [Bridge] GIST biologia — KIT o PDGFRA Mitosi alte, grande dimensione — rischio che cresce già Wedge resection, negative margin, no node dissection needed Kapsel intakt — lass sie ganz — zerreißen ist verboten Imatinib neoadjuvant shrinks the unresectable beast Adjuvant three years post resection, high-risk recurrence ceased D816V PDGFRA resists — switch to avapritinib's arm Exon 9 KIT needs higher dosing — sequence before you harm [Chorus] TNM staging, D-zwei Lymphadenektomie Schneid die Ränder sauber — frozen section, can't be free Resezione en bloc, margine netto, non cedere HER2, PD-L1, MSI — la chiave per guarire Stage it, cut it, sequence right — perioperative decree FLOT vier Zyklen vor, vier nach — das ist die Therapie [Outro] Lynch syndrome watches mismatch, FAP distorts the fundic gland Li-Fraumeni, Peutz-Jeghers — hereditary demand Surveil the remnant, biopsy deep, no margin left behind Gastric cancer staged and sequenced — sharpen body, sharpen mind
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