Treatment strategy for gastric cancer with peritoneal metastasis
LIANG Pin
HU Xiang
Abstract:Peritoneal metastasis is the most common pattern of recurrence or metastasis for gastric cancer.Associated with poor prognosis,peritoneal metastasis remains one of the main causes of gastric cancer related deaths.As is lack of specific symptom,peritoneal metastasis is hard to detect.Image examination is usually performed to detect the metastasis lesions,but the accuracy rate remains low.Laparoscopy or laparoscopic cytological examination is the reliable diagnosis method with relatively high accuracy.So far,no standard theraputic regimen has been established,chemothrapy remains the major treatment method.However,conventional treatment strategy can not improve the survival outcomes of the patients.Recently,active treatment strategy such as intraperitoneal chemotherapy,cytoreductive surgery and conversion chemotherapy have been conducted.Studies have proved that cytoreductive surgery following the conversion chemotherapy significantly prolonged the survival time of the patients.Therefore,conversion chemotherapy has been increasingly applied in the treatment of gastric cancer with peritoneal metastasis.
Keywords:gastric cancerperitoneal metastasischemotherapyintraperitoneal chemotherapy
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 1099-1102 )
