Sendler Andreas, Siewert J Rüdiger
Chirurgische Klinik und Poliklinik, Klinikum rechts der Isar, München, Germany.
Expert Rev Anticancer Ther. 2003 Aug;3(4):457-70. doi: 10.1586/14737140.3.4.457.
Although its incidence in developed countries has declined, gastric cancer remains one of the most common human malignancies. In western countries a shift from distal to proximal tumors has been noted during the past 15 years. Today, surgery is no longer the only treatment modality of gastric cancer, with the help of modern and sophisticated staging procedures it becomes increasingly possible to individually tailor therapy. Operative morbidity and mortality has markedly decreased. The importance of surgical expertise for short- as well as long-term outcome is emphasized. The knowledge of adequate surgery together with the use of combined modalities opens the door to the amelioration of the still dismal prognosis for patients with gastric cancer. This paper reviews the modern approach to gastric cancer using an individualized treatment concept.
尽管在发达国家胃癌的发病率有所下降，但它仍然是人类最常见的恶性肿瘤之一。在西方国家，过去15年中已注意到肿瘤有从远端向近端转移的趋势。如今，手术不再是胃癌的唯一治疗方式，借助现代精密的分期程序，越来越有可能针对个体制定治疗方案。手术的发病率和死亡率已显著降低。强调了手术专业知识对短期和长期治疗效果的重要性。充分的手术知识以及联合治疗方法的应用为改善胃癌患者仍然不佳的预后打开了大门。本文使用个体化治疗理念回顾了胃癌的现代治疗方法。
