引文著录:
李涛, 冯道夫, 梁美霞, 袁静, 郭旭, 李婷, 陈凛. 进展期胃癌应用SOX方案新辅助化疗对肿瘤TNM分期的影响.
世界华人消化杂志
2014; 22(2): 249-252
TNM downstaging after SOX neoadjuvant chemotherapy for advanced gastric cancer
Tao Li, Dao-Fu Feng, Mei-Xia Liang, Jing Yuan, Xu Guo, Ting Li, Lin Chen
Tao Li, Dao-Fu Feng, Mei-Xia Liang, Ting Li, Lin Chen,
Department of General Surgery, General Hospital of Chinese PLA, Beijing 100853, China
Jing Yuan,
Department of Pathology, General Hospital of Chinese PLA, Beijing 100853, China
Xu Guo,
Department of Gastroenterology, General Hospital of Chinese PLA, Beijing 100853, China
Correspondence to
: Lin Chen, Department of General Surgery, General Hospital of Chinese PLA, 28 Fuxing Road, Beijing 100853, China.
[email protected]
Received:
October 24, 2013
Revised:
November 23, 2013
Accepted:
November 29, 2013
Published online:
January 18, 2014
AIM
: To evaluate the efficacy of S-1 combined with oxaliplatin (SOX regimen) as neoadjuvant chemotherapy in the treatment of advanced gastric cancer.
METHODS
: We retrospectively analyzed 80 patients with advanced gastric cancer who underwent neoadjuvant chemotherapy from February 2012 to September 2013. These patients received 2-4 cycles of SOX chemotherapy and then underwent gastrostomy with D1/D2 lymphadectomy. Clinical and histological tumor downstaging was statistically analyzed.
RESULTS
: Fifty-six patients (70%) had tumor downstaging and ten patients (12.5%) had pathological complete response (pCR) after neoadjuvant chemotherapy.
CONCLUSION
: SOX regimen as neoadjuvant chemotherapy has high efficacy for advanced gastric cancer.
Parkin DM
, Pisani P, Ferlay J. Global cancer statistics.
CA Cancer J Clin
. 1999;
49
:33-64, 1.
[
PubMed
]
[
DOI
]
Pisani P
, Parkin DM, Bray F, Ferlay J. Erratum: Estimates of the worldwide mortality from 25 cancers in 1990. Int. J. Cancer, 83, 18-29 (1999).
Int J Cancer
. 1999;
83
:870-873.
[
PubMed
]
[
DOI
]
Sasako M
. Principles of surgical treatment for curable gastric cancer.
J Clin Oncol
. 2003;
21
:274s-275s.
[
PubMed
]
[
DOI
]
Songun I
, Putter H, Kranenbarg EM, Sasako M, van de Velde CJ. Surgical treatment of gastric cancer: 15-year follow-up results of the randomised nationwide Dutch D1D2 trial.
Lancet Oncol
. 2010;
11
:439-449.
[
PubMed
]
[
DOI
]
Cardoso R
, Coburn NG, Seevaratnam R, Mahar A, Helyer L, Law C, Singh S. A systematic review of patient surveillance after curative gastrectomy for gastric cancer: a brief review.
Gastric Cancer
. 2012;
15 Suppl 1
:S164-S167.
[
PubMed
]
[
DOI
]
Yoshikawa T
, Rino Y, Yukawa N, Oshima T, Tsuburaya A, Masuda M. Neoadjuvant chemotherapy for gastric cancer in Japan: a standing position by comparing with adjuvant chemotherapy.
Surg Today
. 2014;
44
:11-21.
[
PubMed
]
[
DOI
]
Cunningham D
, Okines AF, Ashley S. Capecitabine and oxaliplatin for advanced esophagogastric cancer.
N Engl J Med
. 2010;
362
:858-859.
[
PubMed
]
[
DOI
]
Mezhir JJ
, Tang LH, Coit DG. Neoadjuvant therapy of locally advanced gastric cancer.
J Surg Oncol
. 2010;
101
:305-314.
[
PubMed
]
[
DOI
]
Li T
, Chen L. [Efficacy and safety of SOX regimen as neoadjuvant chemotherapy for advanced gastric cancer].
Zhonghua Weichang Waike Zazhi
. 2011;
14
:104-106.
[
PubMed
]
[
DOI
]
Kajitani T
. The general rules for the gastric cancer study in surgery and pathology. Part I. Clinical classification.
Jpn J Surg
. 1981;
11
:127-139.
[
PubMed
]
[
DOI
]
Edge S
, Byrd DR, Compton CC, Fritz , AG , Greene FL, Trotti A.
AJCC Cancer staging handbook: TNM classification of malignant tumors
. New York: Springer 2010; .
[
PubMed
]
[
DOI
]
Oken MM
, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP. Toxicity and response criteria of the Eastern Cooperative Oncology Group.
Am J Clin Oncol
. 1982;
5
:649-655.
[
PubMed
]
[
DOI
]
Sakuramoto S
, Sasako M, Yamaguchi T, Kinoshita T, Fujii M, Nashimoto A, Furukawa H, Nakajima T, Ohashi Y, Imamura H. Adjuvant chemotherapy for gastric cancer with S-1, an oral fluoropyrimidine.
N Engl J Med
. 2007;
357
:1810-1820.
[
PubMed
]
[
DOI
]
Koizumi W
, Takiuchi H, Yamada Y, Boku N, Fuse N, Muro K, Komatsu Y, Tsuburaya A. Phase II study of oxaliplatin plus S-1 as first-line treatment for advanced gastric cancer (G-SOX study).
Ann Oncol
. 2010;
21
:1001-1005.
[
PubMed
]
[
DOI
]
Bittner R
, Butters M, Ulrich M, Uppenbrink S, Beger HG. Total gastrectomy. Updated operative mortality and long-term survival with particular reference to patients older than 70 years of age.
Ann Surg
. 1996;
224
:37-42.
[
PubMed
]
[
DOI
]