[Comments on the seven clinical questions & answers in Japanese gastric treatment guidelines of the 4th edition].
Japanese gastric cancer treatment guidelines of the 4th Edition proposed solutions to 7 clinically contentious questions. However, the solutions to question 1-3 are not complete and may cause ambiguity. In order to avoid the wrong choice of surgical resection, the solutions to question 1-3 should be clearly defined. For question 1-3, we suggest provisos be added such as patients with resectable M1 disease and without any other non-curable factors, after whose status and tumor biological behavior being fully understood and being fully discussed by a multidisciplinary team, can be recommended to receive comprehensive treatment including surgical resection.
Department of gastrointestinal tumors, Affiliated Hospital Cancer Center, Academy of Military Medical Sciences, Beijing 100071, China.
J M
JM
Xu
D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards*; D013274:Stomach Neoplasms / Q000601:surgery / Q000628:therapy*
Gastric neoplasms; Japanese; Treatment guidelines