Neoadjuvant therapy strategies for advanced gastric cancer: Current innovations and future challenges

Gastric cancer, which has a high incidence and poor prognosis, remains a therapeutic challenge. Recently, neoadjuvant therapy has attracted increasing attention due to high recurrence rate and low survival rate after resection in most patients with advanced stage. Clinical trials show that neoadjuva...

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Main Authors: Zhi Zhu, Ying-Bo Gong, Hui-Mian Xu
Format: Article
Language:English
Published: Wiley 2020-09-01
Series:Chronic Diseases and Translational Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2095882X20300359
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author Zhi Zhu
Ying-Bo Gong
Hui-Mian Xu
author_facet Zhi Zhu
Ying-Bo Gong
Hui-Mian Xu
author_sort Zhi Zhu
collection DOAJ
description Gastric cancer, which has a high incidence and poor prognosis, remains a therapeutic challenge. Recently, neoadjuvant therapy has attracted increasing attention due to high recurrence rate and low survival rate after resection in most patients with advanced stage. Clinical trials show that neoadjuvant approaches confer a significant survival advantage for resectable locally advanced gastric cancer. The specific advantages of chemoradiotherapy compared with chemotherapy have not been clarified; optimal regimens and cycles, particularly in the preoperative setting, should be studied further; and trials aimed at determining the role of targeted and immunological therapies should be conducted.
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spelling doaj.art-dae57b02a2fb4e8a99c0555b5a042a442022-12-22T03:37:50ZengWileyChronic Diseases and Translational Medicine2095-882X2020-09-0163147157Neoadjuvant therapy strategies for advanced gastric cancer: Current innovations and future challengesZhi Zhu0Ying-Bo Gong1Hui-Mian Xu2Department of Surgical Oncology, The First Hospital of China Medical University, Shenyang, Liaoning 110001, ChinaDepartment of Surgical Oncology, The First Hospital of China Medical University, Shenyang, Liaoning 110001, ChinaCorresponding author. Department of Surgical Oncology, The First Hospital of China Medical University, North Nanjing Street 155, Shenyang, Liaoning 110001, China.; Department of Surgical Oncology, The First Hospital of China Medical University, Shenyang, Liaoning 110001, ChinaGastric cancer, which has a high incidence and poor prognosis, remains a therapeutic challenge. Recently, neoadjuvant therapy has attracted increasing attention due to high recurrence rate and low survival rate after resection in most patients with advanced stage. Clinical trials show that neoadjuvant approaches confer a significant survival advantage for resectable locally advanced gastric cancer. The specific advantages of chemoradiotherapy compared with chemotherapy have not been clarified; optimal regimens and cycles, particularly in the preoperative setting, should be studied further; and trials aimed at determining the role of targeted and immunological therapies should be conducted.http://www.sciencedirect.com/science/article/pii/S2095882X20300359Gastric cancerNeoadjuvant therapyChemotherapyRadiotherapy
spellingShingle Zhi Zhu
Ying-Bo Gong
Hui-Mian Xu
Neoadjuvant therapy strategies for advanced gastric cancer: Current innovations and future challenges
Chronic Diseases and Translational Medicine
Gastric cancer
Neoadjuvant therapy
Chemotherapy
Radiotherapy
title Neoadjuvant therapy strategies for advanced gastric cancer: Current innovations and future challenges
title_full Neoadjuvant therapy strategies for advanced gastric cancer: Current innovations and future challenges
title_fullStr Neoadjuvant therapy strategies for advanced gastric cancer: Current innovations and future challenges
title_full_unstemmed Neoadjuvant therapy strategies for advanced gastric cancer: Current innovations and future challenges
title_short Neoadjuvant therapy strategies for advanced gastric cancer: Current innovations and future challenges
title_sort neoadjuvant therapy strategies for advanced gastric cancer current innovations and future challenges
topic Gastric cancer
Neoadjuvant therapy
Chemotherapy
Radiotherapy
url http://www.sciencedirect.com/science/article/pii/S2095882X20300359
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