Progress in gastric cancer with positive peritoneal cytology / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 458-462, 2021.
Article
in Chinese
| WPRIM
| ID: wpr-942911
ABSTRACT
Gastric cancer with positive peritoneal cytology is a hotspot in the study of gastric cancer, and its prognosis is poor. Intraperitoneal free cancer cells may be associated with cancer cells migration, invasion and metastasis. Tumor T stage, peritoneal metastasis, lymph node metastasis, low histological differentiation, linitis plastica, adenocarcinoma of esophagogastric junction, and operation are the clinicopathological risk factors of gastric cancer with positive peritoneal cytology. Currently, the acquisition of free cancer cells is mainly through diagnostic laparoscopy combined with peritoneal lavage, and cytopathological examination is gold standard for diagnosis. Its treatment strategies are not in consensus, including preoperative chemotherapy combined with radical resection, postoperative chemotherapy and peritoneal local treatment, which can prolong the survival of patients. At present, postoperative chemotherapy is often used in China, and the best treatment strategies remain to be further studied.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritoneal Neoplasms
/
Prognosis
/
Stomach Neoplasms
/
Peritoneal Lavage
/
China
/
Retrospective Studies
/
Gastrectomy
/
Neoplasm Staging
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Country/Region as subject:
Asia
Language:
Chinese
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2021
Type:
Article
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