Department of Surgical Oncology, IMS and SUM Hospital, Kalinga Nagar, Bhubaneswar, Odisha, India.
J Egypt Natl Canc Inst. 2022 Mar 21;34(1):12. doi: 10.1186/s43046-022-00114-7.
Multimodality is the standard of care in gastric cancer but surgery remains the mainstay of curative treatment. As we are heading towards a more conservative approach for functional preservation without compromising oncological outcomes in all malignancies, the guidelines keeps changing based on various studies.The extent of surgery used to vary between the east and west, with the east performing more radical surgery and the west more reliant on multimodality therapy. This practice has been changing in the recent times.In this article we have reviewed how the treatment protocols of gastric cancer has evolved and modified, highlighting the practice changing trials.
多模态治疗是胃癌的标准治疗方法，但手术仍然是主要的治愈性治疗方法。随着我们在所有恶性肿瘤中朝着更加保守的功能保留方法发展，以不影响肿瘤学结果，指南不断根据各种研究进行改变。手术的范围在东西方之间有所不同，东方国家进行更激进的手术，而西方国家则更依赖于多模态治疗。这种做法在最近有所改变。本文回顾了胃癌的治疗方案是如何演变和修改的，重点介绍了改变实践的临床试验。
