Yale University School of Medicine, 333 Cedar Street, New Haven, CT, USA.
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, Singapore 119228, Singapore; Department of Haematology-Oncology, National University Cancer Institute, Singapore.
Surg Clin North Am. 2025 Feb;105(1):75-94. doi: 10.1016/j.suc.2024.06.007. Epub 2024 Oct 15.
Gastric cancer is prevalent worldwide and is a leading cause of cancer-related death. Patients with GC often present at advanced stages at diagnosis. Patients with locally advanced diseases experience poor survival rates with surgery alone. Multimodality therapy, including peri-operative therapy and adjuvant therapy, has improved outcomes. However, there is no consensus on the optimal treatment approach. Molecular characteristics of GC may help guide treatment choices and studies are currently underway to evaluate other treatment modalities including immunotherapy and targeted therapy.
胃癌在全球范围内普遍存在,是癌症相关死亡的主要原因。胃癌患者在诊断时常常处于晚期。单独手术治疗局部晚期疾病患者的生存率较差。包括围手术期治疗和辅助治疗在内的多模态治疗已经改善了预后。然而,对于最佳治疗方法尚无共识。胃癌的分子特征可能有助于指导治疗选择,目前正在进行研究以评估其他治疗方式,包括免疫治疗和靶向治疗。