Multimodality Treatment for Locally Advanced Gastric Adenocarcinoma

Surg Clin North Am. 2025 Feb;105(1):75-94. doi: 10.1016/j.suc.2024.06.007. Epub 2024 Oct 15.

Abstract

Gastric cancer is prevalent worldwide and is a leading cause of cancer-related death. Patients with GC often present at advanced stages at diagnosis. Patients with locally advanced diseases experience poor survival rates with surgery alone. Multimodality therapy, including peri-operative therapy and adjuvant therapy, has improved outcomes. However, there is no consensus on the optimal treatment approach. Molecular characteristics of GC may help guide treatment choices and studies are currently underway to evaluate other treatment modalities including immunotherapy and targeted therapy.

Keywords: Chemoradiation; Chemotherapy; Gastric cancer; Multimodality; Perioperative.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma* / pathology
  • Adenocarcinoma* / therapy
  • Combined Modality Therapy
  • Gastrectomy / methods
  • Humans
  • Neoplasm Staging
  • Stomach Neoplasms* / diagnosis
  • Stomach Neoplasms* / pathology
  • Stomach Neoplasms* / therapy