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Meta-analysis of 12 trials

with 1,800 patients with resectable gastric or gastroesophageal

cancer:

neoadjuvant chemotherapy

could significantly

downstage tumors

and

improve

R0 resection

while

slightly improving the overall survival

(

Xiong et al., Eur J Surg

Oncol, 2014

)

Additional meta-analysis

comparing neoadjuvant chemotherapy with surgery alone:

the

only significant finding

is that there were

significantly fewer negative lymph

nodes after neoadjuvant treatment

(

Xu et al., PLoS One, 2014

)

Neoadjuvant chemotherapy does not improve OS

03/27/2017