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Advanced gastric cancer: a new combined surgical and oncological approach.

Abstract
Forty-two patients with advanced gastric carcinoma underwent chemotherapy in accordance with the FAMTX protocol. Complete tumor remission was achieved in 7%, and partial remission in 29% of the patients. In this group 6 patients (tumor stage: T3-4, N 2-3, M X-1) underwent a second-look operation after chemotherapy either to confirm the complete remission or the resect the remaining tumor mass. The mean follow-up time of these 6 patients is 22 (8-55) months; 4 are still in complete remission 8 to 55 months after the first operation. It is concluded that even in advanced stages of gastric carcinomas a more aggressive approach involving a combination of surgical and chemotherapeutic treatment improves the survival time of these patients.
AuthorsB Kremer, D Henne-Bruns, H J Weh, T Effenberger
JournalHepato-gastroenterology (Hepatogastroenterology) Vol. 36 Issue 1 Pg. 23-6 (Feb 1989) ISSN: 0172-6390 [Print] Greece
PMID2744710 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Etoposide
  • Doxorubicin
  • Cisplatin
  • Fluorouracil
  • Methotrexate
Topics
  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
  • Carcinoma (therapy)
  • Cisplatin (administration & dosage)
  • Combined Modality Therapy
  • Doxorubicin (administration & dosage)
  • Etoposide (administration & dosage)
  • Female
  • Fluorouracil (administration & dosage)
  • Follow-Up Studies
  • Gastrectomy
  • Humans
  • Male
  • Methotrexate (administration & dosage)
  • Middle Aged
  • Reoperation
  • Stomach Neoplasms (therapy)

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