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Median DFS of adjuvant CT versus adjuvant CRT was 13months versus 23 months (p = 0.02. The commonest site of relapse was the peritoneum (49.18%) and incidence of isolatedloco-regional failure was 10.7%. In GCs with N3 stage determined after radical D2 gastrectomy, LN ratio of 0.5 and ypN3 status are predictors of poor prognosis. Considering the high incidence of peritoneal and loco-regional relapse in these patients, the role of more radical surgery, adjuvant chemoradiotherapy after upfront resection and intraperitoneal chemotherapy should be evaluat