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Perioperative chemotherapy
What is the impact of preoperative chemotherapy alone?
Should perioperative chemotherapy be considerd a standard?
What could be the reasons of the undertreatment of gastric
cancer patients despite available high quality evidence?
Has pre-operative treatment a negative impact on posto-operative
Modest
YES!
Lack of multidisciplinary expertise
No
outcomes?
What are potential prognostic markers?
How can we treat non-responding patients?
More is better?
Adjuvant chemotherapy
More is better?
Is it better late than ever?
Lymph node status; TRG
Clinical trials
Probably YES (FLOT4)
May be - Selection of patients is crucial
Yes
Perioperative or adjuvant chemotherapy
What is better?
03/27/2017