Perioperative Treatment in Resectable Gastric Cancer: Current Perspectives and Future Directions

Gastric cancer (GC) is the fifth-most common cancer worldwide and an important cause of cancer-related-death. The growing knowledge of its molecular pathogenesis has shown that GC is not a single entity, but a constellation of different diseases, each with its own molecular and clinical characterist...

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Main Authors: Angelica Petrillo, Luca Pompella, Giuseppe Tirino, Annalisa Pappalardo, Maria Maddalena Laterza, Marianna Caterino, Michele Orditura, Fortunato Ciardiello, Eva Lieto, Gennaro Galizia, Carlo Castoro, Ferdinando De Vita
Format: Article
Language:English
Published: MDPI AG 2019-03-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/11/3/399
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author Angelica Petrillo
Luca Pompella
Giuseppe Tirino
Annalisa Pappalardo
Maria Maddalena Laterza
Marianna Caterino
Michele Orditura
Fortunato Ciardiello
Eva Lieto
Gennaro Galizia
Carlo Castoro
Ferdinando De Vita
author_facet Angelica Petrillo
Luca Pompella
Giuseppe Tirino
Annalisa Pappalardo
Maria Maddalena Laterza
Marianna Caterino
Michele Orditura
Fortunato Ciardiello
Eva Lieto
Gennaro Galizia
Carlo Castoro
Ferdinando De Vita
author_sort Angelica Petrillo
collection DOAJ
description Gastric cancer (GC) is the fifth-most common cancer worldwide and an important cause of cancer-related-death. The growing knowledge of its molecular pathogenesis has shown that GC is not a single entity, but a constellation of different diseases, each with its own molecular and clinical characteristics. Currently, surgery represents the only curative approach for localized GC, but only 20% of patients (pts) showed resectable disease at diagnosis and, even in case of curative resection, the prognosis remains poor due to the high rate of disease relapse. In this context, multimodal perioperative approaches were developed in western and eastern countries in order to decrease relapse rates and improve survival. However, there is little consensus about the optimal treatment for non-metastatic GC. In this review, we summarize the current status and future developments of perioperative chemotherapy in resectable GC, attempting to find clear answers to the real problems in clinical practice.
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spelling doaj.art-2a4abdf460cc4c36b2c54535004a86d92023-09-02T11:37:41ZengMDPI AGCancers2072-66942019-03-0111339910.3390/cancers11030399cancers11030399Perioperative Treatment in Resectable Gastric Cancer: Current Perspectives and Future DirectionsAngelica Petrillo0Luca Pompella1Giuseppe Tirino2Annalisa Pappalardo3Maria Maddalena Laterza4Marianna Caterino5Michele Orditura6Fortunato Ciardiello7Eva Lieto8Gennaro Galizia9Carlo Castoro10Ferdinando De Vita11Division of Medical Oncology, Department of Precision Medicine, School of Medicine, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDivision of Medical Oncology, Department of Precision Medicine, School of Medicine, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDivision of Medical Oncology, Department of Precision Medicine, School of Medicine, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDivision of Medical Oncology, Department of Precision Medicine, School of Medicine, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDivision of Medical Oncology, Department of Precision Medicine, School of Medicine, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDivision of Medical Oncology, Department of Precision Medicine, School of Medicine, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDivision of Medical Oncology, Department of Precision Medicine, School of Medicine, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDivision of Medical Oncology, Department of Precision Medicine, School of Medicine, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDivision of GI Tract Surgical Oncology, Department of Surgical Sciences, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDivision of GI Tract Surgical Oncology, Department of Surgical Sciences, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyDepartment of upper GI surgery, Humanitas Research Hospital-Humanitas University, 20089 Rozzano (Milano), ItalyDivision of Medical Oncology, Department of Precision Medicine, School of Medicine, University of study of Campania “Luigi Vanvitelli”, Via Pansini n.5, 80131 Naples, ItalyGastric cancer (GC) is the fifth-most common cancer worldwide and an important cause of cancer-related-death. The growing knowledge of its molecular pathogenesis has shown that GC is not a single entity, but a constellation of different diseases, each with its own molecular and clinical characteristics. Currently, surgery represents the only curative approach for localized GC, but only 20% of patients (pts) showed resectable disease at diagnosis and, even in case of curative resection, the prognosis remains poor due to the high rate of disease relapse. In this context, multimodal perioperative approaches were developed in western and eastern countries in order to decrease relapse rates and improve survival. However, there is little consensus about the optimal treatment for non-metastatic GC. In this review, we summarize the current status and future developments of perioperative chemotherapy in resectable GC, attempting to find clear answers to the real problems in clinical practice.https://www.mdpi.com/2072-6694/11/3/399gastric cancerperioperative treatmentneoadjuvant chemotherapy
spellingShingle Angelica Petrillo
Luca Pompella
Giuseppe Tirino
Annalisa Pappalardo
Maria Maddalena Laterza
Marianna Caterino
Michele Orditura
Fortunato Ciardiello
Eva Lieto
Gennaro Galizia
Carlo Castoro
Ferdinando De Vita
Perioperative Treatment in Resectable Gastric Cancer: Current Perspectives and Future Directions
Cancers
gastric cancer
perioperative treatment
neoadjuvant chemotherapy
title Perioperative Treatment in Resectable Gastric Cancer: Current Perspectives and Future Directions
title_full Perioperative Treatment in Resectable Gastric Cancer: Current Perspectives and Future Directions
title_fullStr Perioperative Treatment in Resectable Gastric Cancer: Current Perspectives and Future Directions
title_full_unstemmed Perioperative Treatment in Resectable Gastric Cancer: Current Perspectives and Future Directions
title_short Perioperative Treatment in Resectable Gastric Cancer: Current Perspectives and Future Directions
title_sort perioperative treatment in resectable gastric cancer current perspectives and future directions
topic gastric cancer
perioperative treatment
neoadjuvant chemotherapy
url https://www.mdpi.com/2072-6694/11/3/399
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