Gastric Cancer Working Group Report
Resource
JAPANESE JOURNAL OF CLINICAL ONCOLOGY v.40 SUPPL. 1 pp.I28-I37
Journal
Japanese Journal of Clinical Oncology
Pages
i28-i37
Date Issued
2010
Date
2010
Author(s)
Sasako, M.
Inoue, M.
Lin, J.-T.
Khor, C.
Yang, H.-K.
Ohtsu, A.
Abstract
Gastric cancer is the second most common cancer in Asia, more than half of the world's gastric cancer cases arise in Eastern Asia, and the majority of Asia's cases still occur in the distal part of the stomach. The etiology of gastric cancer consists of genetic susceptibility, Helicobacter pylori infection and environmental risk factors. Helicobacter pylori eradication treatment, consumption of fresh vegetables and fruits and use of aspirin and non- steroidal anti-inflammatory drugs seem to reduce the risk of gastric cancer. Screening for gastric cancer is cost- effective in countries with high incidence. Risk stratification may increase the cost-effectiveness of screening in populations at moderate risk. Endoscopic resection is curative in a subset of patients with early cancer. R0 resection with D2 lymph node dissection has produced the best survival data. Some kind of post-operative adjuvant chemotherapy including S-1 is recommended after D2 surgery. As chemotherapy for gastric cancer, fluorouracils plus platinum are the most widely accepted first-line regimens, whereas taxanes or irinotecan are mostly used in second- and third-line settings. Differences in the approval and medical insurance systems may influence the status of these regimens. Trastuzumab in combination with fluorouracils/platinum will be a standard regimen for HER 2- positive gastric cancer. Many new targeting agents are currently under investigation, and Asian countries are playing important roles in investigation and development of new and better treatments for this malignancy.
Subjects
gastric cancer
Helicobacter pylori
D2 lymphadenectomy
adjuvant chemotherapy
endoscopic treatment
chemotherapy
Other Subjects
5 chloro 2,4 dihydroxypyridine plus oxonate potassium plus tegafur; bevacizumab; capecitabine; cetuximab; cisplatin; docetaxel; everolimus; fluorouracil; irinotecan; lapatinib; oxaliplatin; paclitaxel; panitumumab; platinum; taxane derivative; trastuzumab; article; cancer combination chemotherapy; cancer risk; cancer screening; cancer surgery; gastroscopy; genetic susceptibility; Helicobacter infection; human; lymph node dissection; stomach cancer; Asia; Stomach Neoplasms; Asia; Humans; Stomach Neoplasms; Asia; Humans; Stomach Neoplasms
Type
journal article