Palliative resection for stage IV gastric cancer

Autor:	H. Kotanagi, O. Muto
Rok vydání:	2011
Předmět:	Cancer Research medicine.medical_specialty Chemotherapy business.industry medicine.medical_treatment Cancer medicine.disease Surgery medicine.anatomical_structure Oncology Palliative resection Laparotomy Medicine Gastrectomy Stage iv business Lymph node Survival rate
Zdroj:	Journal of Clinical Oncology. 29:148-148
ISSN:	1527-7755 0732-183X
Popis:	148 Background: Metastatic gastric adenocarcinoma is an incurable condition and little progress has been made in its treatment. The role of palliative surgical resection is still debatable. Methods: We retrospectively evaluated the efficacy of palliative gastrectomy for treating incurable gastric cancer. In our institution 51 cases were found to have incurable tumors at laparotomy and received palliative gastrectomy from 2003 through 2009. In the analysis, particular attention was paid to the prognostic factors of age, tissue type (diffuse type and intestinal type), metastatic site (liver, peritoneal and lymph node) and postoperative chemotherapy. Results: One-year survival rate of all patients was 58% and the median survival time was 23.5 months. The median survival time was significantly greater in patients undergoing chemotherapy group than in those not undergoing chemotherapy (24.0 versus 9.4 months; p=0.016). Conclusions: Long-term survival for patients with stage IV gastric cancer who are managed with surgical resection and chemotherapy is achievable. Further study with a larger number of patients is warranted. No significant financial relationships to disclose.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::77fb5002d2452f5379b3aa7617a576da https://doi.org/10.1200/jco.2011.29.4_suppl.148 Zobrazit plný text záznamu