Treatment strategies for metastatic gastric cancer: chemotherapy, palliative surgery or radiotherapy?

This study explored whether chemotherapy combined with palliative surgery and/or radiotherapy is a possible treatment for metastatic gastric cancer. Patients were divided into groups according to treatments. COX models were used to explore prognostic factors. Kaplan–Meier models and log-rank tests w...

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Veröffentlicht in:Future oncology (London, England) England), 2020-02, Vol.16 (5), p.91-102
Hauptverfasser: Liang, Xiao, Zhu, Jiamin, Li, Yuanye, Xu, Yiren, Chen, Kai, Lv, Liting, Mao, Weidong
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container_end_page 102
container_issue 5
container_start_page 91
container_title Future oncology (London, England)
container_volume 16
creator Liang, Xiao
Zhu, Jiamin
Li, Yuanye
Xu, Yiren
Chen, Kai
Lv, Liting
Mao, Weidong
description This study explored whether chemotherapy combined with palliative surgery and/or radiotherapy is a possible treatment for metastatic gastric cancer. Patients were divided into groups according to treatments. COX models were used to explore prognostic factors. Kaplan–Meier models and log-rank tests were used to analyze outcomes. Outcomes were analyzed before and after propensity score matching. Chemotherapy combined with gastrectomy or metastasectomy prolongs the survival time compared with chemotherapy alone (p < 0.05). Chemotherapy combined with gastrectomy plus metastasectomy and/or radiation therapy also prolongs the survival time (p < 0.05). Chemotherapy combined with gastrectomy could be a more effective treatment for metastatic gastric cancer. Chemotherapy combined with gastrectomy plus metastasectomy and/or radiation therapy could also be a promising treatment.
doi_str_mv 10.2217/fon-2019-0495
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subjects Age
Cancer therapies
Chemotherapy
Gastric cancer
Histology
Medical prognosis
Metastasis
metastatic gastric cancer
Multivariate analysis
Radiation therapy
SEER
Surgery
treatment strategies
title Treatment strategies for metastatic gastric cancer: chemotherapy, palliative surgery or radiotherapy?
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