Advanced gastric cancer: the value of systemic and intraperitoneal chemotherapy

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Federico Coccolini
Paola Fugazzola
Luca Ansaloni
Massimo Sartelli
Enrico Cicuttin
Gioacchino Leandro
Gian Luigi de' Angelis
Federica Gaiani
Francesco Di Mario
Matteo Tomasoni
Fausto Catena

Keywords

advanced gastric cancer, chemotherapy, hipec, intraperitoneal, surgery, carcinosis, metastasis

Abstract

Several possibilities in treating advanced gastric cancer exist. Radical surgery associated with chemotherapy represents the cornerstone. Which one is more effective among neoadjuvant, adjuvant or perioperative chemotherapy is still a matter of debate. Several innovative results showed the necessity to keep increasingly into consideration the intraperitoneal administration of chemotherapies. Moreover, classical drugs and their ways of administration should be combined with the new ones to improve results. Lastly the prevention of recurrence should be considered: one possibility is to administer intraperitoneal chemotherapy earlier in the therapeutic algorithm.

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