1. REVIEW:
NOVEL DIAGNOSTIC APPROACHES AND TREATMENT
OPTIONS IN GASTRIC CANCER PATIENTS
AIM: to evaluate current
experience and procedures in
the treatment of gastric
cancer.
MATERIALS & METHODS:
systematic search of
literature MEDLINE, PUBMED
database.
KEYWORDS:
“staging”
“gastric cancer”
”endoscopy”
“classification”
“laparoscopy”
”chemotherapy”
“palliation”
Ann Surg Oncol. 2010 Jun;17(6):1471-4.
The American Joint Committee on Cancer: the 7th edition
of the AJCC cancer staging manual and the future of TNM.
Edge SB, Compton CC.
CONCLUSION: In gastric surgery , recommendations or the extensivness of
lymphadenectomy differ between European and Eastern countries esp. Japan. The
latest randomized European trials whihc examined this issue are the MRC and DGCG
conclusion : D1 lymphadenectomy safest option.
In Japan,D2 lymphadenectomy is the golden procedure when it is possible to
achieve curative resection with greater locoregional control of the disease and
demonstrates a lower incidence of local recurrence of the disease.
LWR IMGR D2
Japanese Classification of Gastric Carcinoma
MD,Msci Marija Petkovic
Doctors Without Borders