title: Treatment of gastric cancer.
abstract: The authors focused on the current surgical treatment of resectable gastric cancer, and significance of peri- and post-operative chemo or chemoradiation. Gastric cancer is the 4(th) most commonly diagnosed cancer and the second leading cause of cancer death worldwide. Surgery remains the only curative therapy, while perioperative and adjuvant chemotherapy, as well as chemoradiation, can improve outcome of resectable gastric cancer with extended lymph node dissection. More than half of radically resected gastric cancer patients relapse locally or with distant metastases, or receive the diagnosis of gastric cancer when tumor is disseminated; therefore, median survival rarely exceeds 12 mo, and 5-years survival is less than 10%. Cisplatin and fluoropyrimidine-based chemotherapy, with addition of trastuzumab in human epidermal growth factor receptor 2 positive patients, is the widely used treatment in stage IV patients fit for chemotherapy. Recent evidence supports the use of second-line chemotherapy after progression in patients with good performance status.
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Orditura
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Gennaro
authors.initials: G
authors.lastname: Galizia
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Sforza
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Valentina
authors.initials: V
authors.lastname: Gambardella
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Alessio
authors.initials: A
authors.lastname: Fabozzi
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Maria Maddalena
authors.initials: MM
authors.lastname: Laterza
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Andreozzi
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Jole
authors.initials: J
authors.lastname: Ventriglia
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Beatrice
authors.initials: B
authors.lastname: Savastano
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Mabilia
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Eva
authors.initials: E
authors.lastname: Lieto
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Fortunato
authors.initials: F
authors.lastname: Ciardiello
authors.affiliation: Michele Orditura, Vincenzo Sforza, Valentina Gambardella, Alessio Fabozzi, Maria Maddalena Laterza, Francesca Andreozzi, Jole Ventriglia, Beatrice Savastano, Fortunato Ciardiello, Ferdinando De Vita, Division of Medical Oncology, Dipartimento di Medicina, Clinica e Sperimentale 'F. Magrassi-A. Lanzara', Seconda Università degli Studi di Napoli, 80131 Naples, Italy.
authors.forename: Ferdinando
authors.initials: F
authors.lastname: De Vita
mesh_terms: D061067:Antibodies, Monoclonal, Humanized / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D059248:Chemoradiotherapy / Q000379:methods; D017024:Chemotherapy, Adjuvant / Q000379:methods; D002945:Cisplatin / Q000008:administration & dosage; D002986:Clinical Trials as Topic; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D009362:Neoplasm Metastasis; D010166:Palliative Care / Q000379:methods; D011878:Radiotherapy / Q000379:methods; D018719:Erb-b2 Receptor Tyrosine Kinases / Q000378:metabolism; D013274:Stomach Neoplasms / Q000188:drug therapy* / Q000532:radiotherapy* / Q000601:surgery*; D000068878:Trastuzumab
chemical_list: D061067:Antibodies, Monoclonal, Humanized; D002945:Cisplatin; D005472:Fluorouracil; D018719:Erb-b2 Receptor Tyrosine Kinases; D000068878:Trastuzumab; C508053:ERBB2 protein, human
keywords: Adjuvant chemotherapy; Chemoradiation; Gastric cancer; Palliative chemotherapy; Radiotherapy; Surgery