Abstract

Gastric cancer is one of the most common cause of cancer related deaths worldwide which results in malignant tumors in the digestive tract. The only radical treatment option available is surgical resection. Recently, the implementation of neoadjuvant chemotherapy resulted in 5-year survival rates of 95% for early gastric cancer. The main reason of treatment failure is that early diagnosis is minimal, with many patients presenting advanced stages. Hence, the greatest benefit of radical resection is missed. Consequently, the main therapeutic approach for advanced gastric cancer is combined surgery with neoadjuvant chemotherapy, targeted therapy, or immunotherapy. In this review, we will discuss the various treatment options for advanced gastric cancer. Clinical practice and clinical research is the most practical way of reaching new advents in terms of patients' characteristics, optimum drug choice, and better prognosis. With the recent advances in gastric cancer diagnosis, staging, treatment, and prognosis, we are evident that the improvement of survival in this patient population is just a matter of time.

Highlights

  • Gastric cancer, the third leading cause of cancer-related mortality, is a prevalent gastrointestinal tumor, in China, with about 400,000 new cases each year [1]

  • In most trials 78.1% did not control for surgeon experience, only 4.4% evaluate the quality of the intervention

  • While other trials 54.6% reported a neutral result; reporting bias was identified in 51.7%

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Summary

Frontiers in Medicine

Gastric cancer is one of the most common cause of cancer related deaths worldwide which results in malignant tumors in the digestive tract. The only radical treatment option available is surgical resection. The implementation of neoadjuvant chemotherapy resulted in 5-year survival rates of 95% for early gastric cancer. The main reason of treatment failure is that early diagnosis is minimal, with many patients presenting advanced stages. The greatest benefit of radical resection is missed. The main therapeutic approach for advanced gastric cancer is combined surgery with neoadjuvant chemotherapy, targeted therapy, or immunotherapy. We will discuss the various treatment options for advanced gastric cancer. With the recent advances in gastric cancer diagnosis, staging, treatment, and prognosis, we are evident that the improvement of survival in this patient population is just a matter of time

INTRODUCTION
PROGRESS IN THE TREATMENT APPROACHES OF GASTRIC CANCER
Adjuvant Chemotherapy
Intraperitoneal Hyperthermic Chemotherapy
Accurate Molecular Gene Therapy
MULTIKINASE INHIBITORS FOR THE TREATMENT OF GASTRIC CANCER
AGE AND DIET RISK FACTORS ASSOCIATED WITH GASTRIC CANCER DEVELOPMENT
OTHERS RISK FACTORS ASSOCIATED WITH GASTRIC CANCER DEVELOPMENT
DIFFERENT STAGES OF GASTRIC CANCER
STAGING OF ADVANCED GASTRIC CANCER
No metastasis
Infusion pump
PROGNOSTIC EVALUATION
CLINICAL TRIALS FOR THE TREATMENT OF GASTRIC CANCER
CHALLENGES OF DRUG RESISTANCE
SUMMARY OF TRIALS AND ITS MAJOR CHANGES
Findings
SUMMARY

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