Gastric cancer, version 2.2022: NCCN Clinical Practice Guidelines in Oncology Guidelines


Authors: Ajani, J. A.; D'Amico, T. A.; Bentrem, D. J.; Chao, J.; Cooke, D.; Corvera, C.; Das, P.; Enzinger, P. C.; Enzler, T.; Fanta, P.; Farjah, F.; Gerdes, H.; Gibson, M. K.; Hochwald, S.; Hofstetter, W. L.; Ilson, D. H.; Keswani, R. N.; Kim, S.; Kleinberg, L. R.; Klempner, S. J.; Lacy, J.; Ly, Q. P.; Matkowskyj, K. A.; McNamara, M.; Mulcahy, M. F.; Outlaw, D.; Park, H.; Perry, K. A.; Pimiento, J.; Poultsides, G. A.; Reznik, S.; Roses, R. E.; Strong, V. E.; Su, S.; Wang, H. L.; Wiesner, G.; Willett, C. G.; Yakoub, D.; Yoon, H.; McMillian, N.; Pluchino, L. A.
Title: Gastric cancer, version 2.2022: NCCN Clinical Practice Guidelines in Oncology
Abstract: Gastric cancer is the third leading cause of cancer-related deaths worldwide. Over 95% of gastric cancers are adenocarcinomas, which are typically classified based on anatomic location and histologic type. Gastric cancer generally carries a poor prognosis because it is often diagnosed at an advanced stage. Systemic therapy can provide palliation, improved survival, and enhanced quality of life in patients with locally advanced or metastatic disease. The implementation of biomarker testing, especially analysis of HER2 status, microsatellite instability (MSI) status, and the expression of programmed deathligand 1 (PD-L1), has had a significant impact on clinical practice and patient care. Targeted therapies including trastuzumab, nivolumab, and pembrolizumab have produced encouraging results in clinical trials for the treatment of patients with locally advanced or metastatic disease. Palliative management, which may include systemic therapy, chemoradiation, and/or best supportive care, is recommended for all patients with unresectable or metastatic cancer. Multidisciplinary team management is essential for all patients with localized gastric cancer. This selection from the NCCN Guidelines for Gastric Cancer focuses on the management of unresectable locally advanced, recurrent, or metastatic disease. © 2022 Harborside Press. All rights reserved.
Journal Title: Journal of the National Comprehensive Cancer Network
Volume: 20
Issue: 2
ISSN: 1540-1405
Publisher: Harborside Press  
Date Published: 2022-02-01
Start Page: 167
End Page: 192
Language: English
DOI: 10.6004/jnccn.2022.0008
PUBMED: 35130500
PROVIDER: scopus
DOI/URL:
Notes: Review -- Export Date: 1 March 2022 -- Source: Scopus
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  1. Hans Gerdes
    176 Gerdes
  2. Vivian Strong
    265 Strong
  3. David H Ilson
    434 Ilson