Oligometastatic Disease in Upper Gastrointestinal Cancer - How to Proceed

Autor: Dirk L. Stippel, Christiane J. Bruns, Patrick Sven Plum, Christopher Betzler, Costanza Chiapponi, Felix Popp, Felix Berlth
Rok vydání: 2017
Předmět:
Zdroj: Visceral Medicine. 33:31-34
ISSN: 2297-475X
2297-4725
DOI: 10.1159/000455683
Popis: Background: In the present study we review and discuss the current evidence and suggest how to proceed in the management of oligometastatic disease in upper gastrointestinal cancer. Methods: An electronic search of the PubMed database for relevant articles was performed. Results: Both the search for ‘oligometastasis', ‘oligometastases', ‘oligometastatic', ‘oligometastatic disease' as well as ‘esophageal' and ‘esophageal cancer' and the search for ‘oligometastasis', ‘oligometastases', ‘oligometastatic', ‘oligometastatic disease' as well as ‘gastric', ‘gastric cancer', ‘stomach', and ‘stomach cancer' yielded very few studies. Most data need to be extrapolated in general studies on oligometastatic diseases of different origins. No randomized controlled trial could be found. Conclusion: In the absence of data to formulate recommendations on how to proceed in the treatment of oligometastatic disease in upper gastrointestinal cancer, a more aggressive treatment of oligometastatic disease can be considered in patients whose tumors show a more favorable neoplastic behavior after the ‘test of time'. The RENAISSANCE study will certainly deliver important data regarding this aspect.
Databáze: OpenAIRE