Neoadjuvant intraperitoneal chemotherapy for advanced stage gastric cancer (Review)

Gastric cancer remains one of the most lethal malignancies especially when diagnosed in advanced stages of the disease; most often patients diagnosed later during the progression of their disease will present a certain degree of peritoneal contamination such as positive peritoneal cytology or perito...

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Veröffentlicht in:Experimental and therapeutic medicine 2021-11, Vol.22 (5), Article 1314
Hauptverfasser: Bacalbasa, Nicolae, Diaconu, Camelia, Socea, Bogdan, Gherghiceanu, Florentina, Savu, Cornel, Dimitriu, Mihai, Balescu, Irina, Cordos, Ioan
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container_issue 5
container_start_page
container_title Experimental and therapeutic medicine
container_volume 22
creator Bacalbasa, Nicolae
Diaconu, Camelia
Socea, Bogdan
Gherghiceanu, Florentina
Savu, Cornel
Dimitriu, Mihai
Balescu, Irina
Cordos, Ioan
description Gastric cancer remains one of the most lethal malignancies especially when diagnosed in advanced stages of the disease; most often patients diagnosed later during the progression of their disease will present a certain degree of peritoneal contamination such as positive peritoneal cytology or peritoneal metastatic nodules. In such cases most often they then progress to peritoneal carcinomatosis and succumb to the disease within one year. In order to increase the lifespan in such cases multiple therapeutic strategies have been proposed such as radical surgery and intraperitoneal heated chemotherapy or direct intraperitoneal chemotherapy followed by radical surgery. To date, the benefits of intraperitoneal heated chemotherapy at the time of resection have been widely investigated; however the method is still associated with increased rates of perioperative complications. Therefore, attention was focused on investigating the benefits of such procedures as neoadjuvant therapies followed by radical surgery. The aim of the present review was to examine the most efficient therapeutic strategies in advanced-stage gastric cancer such as neoadjuvant laparoscopic heated intraperitoneal chemotherapy, perioperative heated intraperitoneal chemotherapy and neoadjuvant systemic and peritoneal chemotherapy.
doi_str_mv 10.3892/etm.2021.10749
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subjects Cancer
Cancer therapies
Cellular biology
Chemotherapy
Cytotoxicity
Drug therapy
Gastric cancer
Gastrointestinal surgery
Laparoscopy
Lymphatic system
Metastasis
Methods
Morbidity
Neoadjuvant therapy
Review
Stomach cancer
title Neoadjuvant intraperitoneal chemotherapy for advanced stage gastric cancer (Review)
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