Potentially Curable Cancers of the Esophagus and Stomach.
Gastric and gastroesophageal adenocarcinomas continue to be a major health burden globally and collectively represent the third leading cause of cancer death. Among patients with metastatic disease, most die of their cancer because of the limited number of modestly effective treatment regimens available today. The progress against these cancers has been slow compared with many other solid tumors despite many attempts. In-depth molecular profiling has also not been completed. Even when these cancers are localized, they impose considerable challenges for the patient, relatives, and treatment team alike. Localized gastric or gastroesophageal cancer is best managed with a multidisciplinary approach. This review focuses on the management of localized cancers by reviewing the current literature and explaining certain principles that help guide therapy for these patients. The future, however, will afford numerous opportunities, including exploitation of initial data from The Cancer Genome Atlas, to identify novel targets and drugs, harness the prowess of the immune system, and customize therapy for each patient.
Department of Medicine, Division of Medical Oncology, University of Toronto and Princess Margaret Cancer Centre, Toronto, Ontario, Canada; Department of Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX.
Elena
E
Elimova
Department of Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX.
Dilsa
D
Mizrak Kaya
Department of Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX.
Kazuto
K
Harada
Department of Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX. Electronic address: jajani@mdanderson.org.
Jaffer A
JA
Ajani
D000230:Adenocarcinoma / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000628:therapy*; D004947:Esophagus / Q000473:pathology*; D006801:Humans; D013270:Stomach / Q000473:pathology*; D013274:Stomach Neoplasms / Q000628:therapy*