The cancer has grown in one of these ways. It is only in the second layer of the stomach (submucosa) and has spread to seven to 15 lymph nodes very close to the tumor. It is in the third and maybe the fourth layer of the stomach wall (muscularis and subserosa) and has spread to one to six nearby lymph nodes. The cancer has gone through the outermost layer of the stomach wall. It has not spread to lymph nodes or other organs.