• Der Internist · Jan 2014

    [Treatment of gastric cancer].

    • F Lordick and A Hoffmeister.
    • Universitäres Krebszentrum Leipzig, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 03401, Leipzig, Deutschland, florian.lordick@medizin.uni-leipzig.de.
    • Internist (Berl). 2014 Jan 1; 55 (1): 15-6, 18-22.

    AbstractFrom a global perspective, gastric cancer including adenocarcinoma of the esophagogastric junction is the fourth most common malignant tumor and the second most common cause of cancer-related death. Due to the lack of specific symptoms of early cancer, most gastric cancers are diagnosed in advanced stages. Staging should include high-resolution computed tomography of the thorax, abdomen, and pelvis and documented video-endoscopy and endoscopic ultrasound. In mucosal gastric cancer, endoscopic resection can replace surgical resection. In more advanced stages, perioperative chemotherapy has been established as a standard of care. In the metastatic setting, treatment goals are palliative. Chemotherapy can prolong survival, improve symptoms, and enhance the quality of life. Combination chemotherapy including a platinum salt plus fluoropyrimidine is the standard of care. About 16 % of gastric cancers exhibit overexpression of the growth factor receptor HER2. Trastuzumab has shown to prolong survival when combined with chemotherapy in HER2-positive gastric cancer.

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