Gastric Adenocarcinoma: A Multimodal Approach

Frontiers in Surgery

Humair S. Quadri¹ 

关键词: gastric cancer;    oncology;    multimodal therapy;    gastric adenocarcinoma;    multidisciplinary approach;    gastrectomy;    radiotherapy;    chemotherapy;   

DOI  :  10.3389/fsurg.2017.00042

学科分类：外科医学

来源: Frontiers

【 摘 要 】

Despite its declining incidence, gastric cancer (GC) remains a leading cause of cancer-related deaths worldwide. A multimodal approach to GC is critical to ensure optimal patient outcomes. Pretherapy fine resolution contrast-enhanced cross-sectional imaging, endoscopic ultrasound and staging laparoscopy play an important role in patients with newly diagnosed ostensibly operable GC to avoid unnecessary non-therapeutic laparotomies. Currently, margin negative gastrectomy and adequate lymphadenectomy performed at high volume hospitals remain the backbone of GC treatment. Importantly, adequate GC surgery should be integrated in the setting of a multimodal treatment approach. Treatment for advanced GC continues to expand with the emergence of additional lines of systemic and targeted therapies.

【 授权许可】

CC BY