Multi-Institutional Trial of Preoperative Chemoradiotherapy in Patients With Potentially Resectable Gastric Carcinoma

作者: J.A. Ajani , P.F. Mansfield , N. Janjan , J. Morris , P.W. Pisters

DOI: 10.1200/JCO.2004.01.015

关键词:

摘要: Purpose In the West, curative (R0) resection is achieved in approximately 50% of patients with localized gastric carcinoma, and more than 60% die cancer following an R0 resection. A multi-institutional study preoperative chemoradiotherapy was done to assess rate, pathologic complete response (pathCR) safety, survival resectable carcinoma. Patients Methods Operable adenocarcinoma were eligible. Staging also included a laparoscopy endoscopic ultrasonography (EUS). received up two 28-day cycles induction chemotherapy fluorouracil, leucovorin, cisplatin, followed by 45 Gy radiation plus concurrent fluorouracil. then staged surgery attempted. Results Thirty-four registered at three institutions. One ineligible patient excluded. Most had promixal EUST3N1 designation. Twenty-eight (85%) 33 underwent surgery. The res...

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