Authors: | Lumish, M. A.; Ku, G. Y. |
Review Title: | Approach to resectable gastric cancer: Evolving paradigm of neoadjuvant and adjuvant treatment |
Abstract: | Recent therapeutic advances have prolonged survival in patients with metastatic gastric cancer, though the prognosis for patients with locally advanced resectable gastric cancer remains poor. Long-term survival after resection of locally advanced gastric adenocarcinoma is dependent on early eradication of micrometastatic disease and optimal surgical resection. Preoperative therapy with a docetaxel-containing three-drug regimen has recently been shown to be superior to an anthracycline-containing three-drug regimen or two-drug therapy with a fluoropyrimidine and platinum. Chemoradiation is not essential and is reserved for patients with suboptimal resection. Emerging research strategies include introduction of pre- and postoperative checkpoint blockade and biomarker-directed therapy. © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. |
Keywords: | cancer surgery; postoperative period; cancer adjuvant therapy; chemotherapy, adjuvant; neoadjuvant therapy; positron emission tomography; antineoplastic agent; adenocarcinoma; antineoplastic combined chemotherapy protocols; practice guideline; pathology; patient care; preoperative period; adjuvant chemotherapy; stomach cancer; neoadjuvant chemotherapy; stomach neoplasms; chemoradiation; stomach tumor; gastric cancer; molecularly targeted therapy; perioperative therapy; immune checkpoint inhibitor; adjuvant chemoradiotherapy; chemoradiotherapy, adjuvant; humans; human; article; circulating tumor dna; immune checkpoint inhibition |
Journal Title: | Current Treatment Options in Oncology |
Volume: | 23 |
Issue: | 7 |
ISSN: | 1527-2729 |
Publisher: | Springer |
Date Published: | 2022-07-01 |
Start Page: | 1044 |
End Page: | 1058 |
Language: | English |
DOI: | 10.1007/s11864-021-00917-1 |
PUBMED: | 35524838 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | Article -- Export Date: 1 July 2022 -- Source: Scopus |