Gastric cancer with peritoneal metastases: Efficiency of standard treatment methods
Roman Yarema, Мyron Оhorchak, Petro Hyrya, Yuriy Kovalchuk, Victor Safiyan, I. Karelin, Severyn Ferneza, Markiyan Fetsych, Myron Matusyak, Yuriy Oliynyk, Тaras Fetsych
Abstract
BACKGROUND: Peritoneal metastasis (PM), arising from gastric cancer (GC), is the most common pattern of synchronous and metachronous dissemination and is generally associated with poor prognosis. New therapeutic modalities are being increasingly employed for such patients. AIM: To develop more advanced methods, it becomes necessary to study the results of existing standard treatment methods in patients with PM in order to perform a comparative analysis of the strategies. METHODS: ., palliative chemotherapy, palliative gastrectomy, and the best supportive care) was performed on 200 GC patients with synchronous PM. RESULTS: = 0.0008). CONCLUSION: PCI 13+ points. Palliative gastrectomy could prove effective in treating patients with early stage PM. The three standard treatment methods are equally effective for moderate stages of PM. In cases with advanced peritoneal carcinomatosis, a significant increase in prognosis was registered only after treatment with palliative chemotherapy.