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Gastric cancer, version 2.2013

  • Jaffer A. Ajani
  • , David J. Bentrem
  • , Stephen Besh
  • , Thomas A. D'Amico
  • , Prajnan Das
  • , Crystal Denlinger
  • , Marwan G. Fakih
  • , Charles S. Fuchs
  • , Hans Gerdes
  • , Robert E. Glasgow
  • , James A. Hayman
  • , Wayne L. Hofstetter
  • , David H. Ilson
  • , Rajesh N. Keswani
  • , Lawrence R. Kleinberg
  • , W. Michael Korn
  • , A. Craig Lockhart
  • , Kenneth Meredith
  • , Mary F. Mulcahy
  • , Mark B. Orringer
  • James A. Posey, Aaron R. Sasson, Walter J. Scott, Vivian E. Strong, Thomas K. Varghese, Graham Warren, Mary Kay Washington, Christopher Willett, Cameron D. Wright, Nicole R. McMillian, Hema Sundar
  • University of Texas MD Anderson Cancer Center
  • Northwestern University
  • University of Tennessee Health Science Center
  • Duke University
  • Fox Chase Cancer Center
  • City of Hope National Med Center
  • Dana-Farber/Brigham and Women's Cancer Center
  • Memorial Sloan-Kettering Cancer Center
  • University of Utah
  • University of Michigan, Ann Arbor
  • Johns Hopkins University
  • University of California at San Francisco
  • Washington University St. Louis
  • Moffitt Cancer Center
  • University of Alabama at Birmingham
  • Seattle Cancer Care Alliance
  • Roswell Park Cancer Institute
  • Vanderbilt University
  • Massachusetts General Hospital
  • National Comprehensive Cancer Network

Research output: Contribution to journalArticlepeer-review

493 Scopus citations

Abstract

The NCCN Clinical Practice Guidelines in Oncology for Gastric Cancer provide evidence- and consensus-based recommendations for a multidisciplinary approach for the management of patients with gastric cancer. For patients with resectable locoregional cancer, the guidelines recommend gastrectomy with a D1+ or a modified D2 lymph node dissection (performed by experienced surgeons in high-volume centers). Postoperative chemoradiation is the preferred option after complete gastric resection for patients with T3-T4 tumors and node-positive T1-T2 tumors. Postoperative chemotherapy is included as an option after a modified D2 lymph node dissection for this group of patients. Trastuzumab with chemotherapy is recommended as first-line therapy for patients with HER2-positive advanced or metastatic cancer, confirmed by immunohistochemistry and, if needed, by fluorescence in situ hybridization for IHC 2+.

Original languageEnglish
Pages (from-to)531-546
Number of pages16
JournalJNCCN Journal of the National Comprehensive Cancer Network
Volume11
Issue number5
DOIs
StatePublished - May 1 2013

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