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JYMS : Journal of Yeungnam Medical Science

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Sun-Kyo Song 1 Article
Treatment of Advanced Gastric Cancer
Sun-Kyo Song
Yeungnam Univ J Med. 2007;24(2 Suppl):S125-131.   Published online December 31, 2007
DOI: https://doi.org/10.12701/yujm.2007.24.2S.S125
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Curative surgery is the most common and desirable treatment for advanced gastric cancer(AGC), but macroscopically curative resection of AGC dose not always mean a curative outcome. For the tailored management of AGC, accurate preoperative stage are made by using abdominal CT, FDG PET and laparoscopy is necessary. In case of T3/T4 lesion, neoadjuvant chemotherapy(NAC) and neoadjuvant chemoradiotherapy(NACR) are effective therapeutic approaches with acceptable toxicity without increasing surgical morbidity and mortality. I recommend the use of a multidisciplinary therapeutic strategy for treatment of AGC. Future applications of newer cytotoxic drugs such as oxaliplatin, capecitabine, irinotecan, and docetaxel or targeted therapies may help to improve the management of AGC.

JYMS : Journal of Yeungnam Medical Science