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Wöll, E; Amann, A; Eisterer, W; Gerger, A; Grünberger, B; Rumpold, H; Weiss, L; Winder, T; Greil, R; Prager, GW.
Treatment Algorithm for Patients With Gastric Adenocarcinoma: Austrian Consensus on Systemic Therapy - An Update.
Anticancer Res. 2023; 43(7):2889-2897 Doi: 10.21873/anticanres.16460
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Co-authors Med Uni Graz: Gerger Armin
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Abstract:: Over the last decade, therapeutic options for patients with gastric cancer have improved significantly. However, despite these recent advances, mortality is still substantial. Surgery and chemotherapy represent the cornerstones of patient management. Immune checkpoint inhibitors as well as targeted treatments such as HER2-directed therapies and antiangiogenic agents contribute to improved patient prognosis. Herein, we present the updated version of an Austrian consensus on the systemic treatment of patients with gastric adenocarcinoma and adenocarcinoma of the lower gastroesophageal junction, including those with human epidermal growth receptor 2 (HER2) overexpression, microsatellite instability, programmed death-ligand 1 (PD-L1)-positive disease, and claudin 18.2 positivity. The consensus considers the curative setting as well as first-line and later-line systemic treatment options in advanced disease. For HER2-positive disease, HER2 testing is discussed in addition to a review of first-line and later-line therapies. Potential future therapies are also listed, with a focus on targeted [e.g., fibroblast growth factor receptor 2 (FGRF2)-directed] treatments that might provide a further step forward in the management of patients with gastric cancer.
Find related publications in this database (using NLM MeSH Indexing): Humans - administration & dosage; Stomach Neoplasms - drug therapy, genetics; Austria - administration & dosage; Consensus - administration & dosage; Adenocarcinoma - drug therapy, genetics; Algorithms - administration & dosage; Esophagogastric Junction - pathology; Receptor, ErbB-2 - metabolism; Esophageal Neoplasms - pathology
Find related publications in this database (Keywords): Gastric cancer; adenocarcinoma; stomach; lower gastroesophageal junction; treatment algorithm; review