Chemoradiotherapy after Surgery Compared with Surgery Alone for Adenocarcinoma of the Stomach or Gastroesophageal Junction

作者: John S. Macdonald , Stephen R. Smalley , Jacqueline Benedetti , Scott A. Hundahl , Norman C. Estes

DOI: 10.1056/NEJMOA010187

关键词:

摘要: Background Surgical resection of adenocarcinoma the stomach is curative in less than 40 percent cases. We investigated effect surgery plus postoperative (adjuvant) chemoradiotherapy on survival patients with resectable or gastroesophageal junction. Methods A total 556 resected junction were randomly assigned to alone. The adjuvant treatment consisted 425 mg fluorouracil per square meter body-surface area day, 20 leucovorin for five days, followed by 4500 cGy radiation at 180 given days week weeks, modified doses and first four last three radiotherapy. One month after completion radiotherapy, two five-day cycles (425 day) (20 squar...

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