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Management of Gastric Cancer, An Issue of Surgical Oncology Clinics - E-Book

Management of Gastric Cancer, An Issue of Surgical Oncology Clinics - E-Book

Neal Wilkinson

(2012)

Additional Information

Book Details

Abstract

This issue of Surgical Oncology Clinics of North America, Guest Edited by Neal Wilkinson, MD, is devoted to the Management of Gastric Cancer.  Articles in this issue will focus on Epidemiology; Genetics and Prophylactic Surgery; Endoscopic Diagnosis & Staging; Gastric Stromal Tumors (GIST); Management of Early Stage Gastric Cancer; Endoscopic Mucosal Resection (EMR); Tailored Lymphadenectomy; Laparoscopic Resection Gastric Cancer - Western Experience; Gastric Cancer - Eastern Experience; Update of Gastric Cancer Clinical Trials; Preoperative and Postoperative Chemotherapy for Gastric Cancer; and Phase I and II Clinical Trials.

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
Management of\rGastric Cancer i
Copyright Page\r ii
Contributors iii
Table of\r Contents vii
Foreword xiii
Preface xv
Chapter 1. Gastric Cancer:Endoscopic Diagnosisand Staging 1
KEYWORDS 1
CLASSIFICATION AND STAGING 1
ENDOSCOPIC DETECTION 3
ENDOSCOPIC IMAGE–ENHANCING TECHNOLOGIES 6
ENDOSCOPIC ULTRASOUND 9
T STAGE 9
N STAGE 10
COMPARISON WITH OTHER IMAGING MODALITIES 10
METASTATIC DISEASE 10
EUS FOR EGC 11
LINITIS PLASTICA 12
SCREENING 13
SUMMARY 14
ACKNOWLEDGMENTS 14
REFERENCES 14
Chapter 2. Gastrointestinal Stromal Tumorsof the Stomach 21
KEYWORDS 21
PREOPERATIVE IMAGING 22
STAGING 22
PATHOLOGY 23
MOLECULAR ANALYSIS 23
TECHNIQUES OF LAPAROSCOPIC AND OPEN RESECTION 24
ADJUVANT TARGETED THERAPY 25
NEOADJUVANT TARGETED THERAPY 27
RESISTANCE TO TARGETED THERAPY 28
SUMMARY 29
REFERENCES 30
Chapter 3. Familial GastricCancer: Genetics,Diagnosis, and Management 35
KEYWORDS 35
CONSENSUS GUIDELINES 36
FAMILIAL GASTRIC CANCER: EPIDEMIOLOGY, RISK ASSESSMENT, AND PENETRANCE 37
GENETICS OF HDGC 37
PATHOLOGY OF HDGC 42
MODELS OF HDGC 43
CDH1 GENETIC TESTING AND MUTATION SEARCHING 45
MINIMUM AGE FOR GENETIC TESTING AND INTERVENTIONS IN HDGC 46
SURVEILLANCE AND SCREENING GASTROSCOPY IN HDGC 47
TOTAL GASTRECTOMY IN HDGC 48
SUMMARY 51
ACKNOWLEDGMENTS 52
REFERENCES 52
Chapter 4. Standard D2 and Modified Nodal Dissection for Gastric Adenocarcinoma 57
DEFINITION OF THE NODAL STATIONS AND THE D1 AND D2 NODAL DISSECTIONS 58
THE TECHNIQUE OF D2 NODAL DISSECTION (DISTAL AND TOTAL GASTRECTOMY) 60
INDICATION FOR MODIFICATIONS OF THE D2 NODAL DISSECTION 64
MARUYAMA INDEX AND THE D2 NODAL DISSECTION 66
LEARNING CURVE OF THE D2 NODAL DISSECTION AND SURGICAL QUALITY CONTROL 67
FUTURE DIRECTION OF GASTRIC CANCER SURGERY 69
REFERENCES 69
Chapter 5. Gastric Cancer Eastern Experience 71
GUIDELINES FOR THE STANDARD TREATMENT OF GASTRIC CANCER 71
STAGE-SPECIFIC RESULTS OF RESECTED GASTRIC CANCER IN THE WEST AND EAST 71
OVERALL SURVIVAL IN VARIOUS CLINICAL TRIALS IN THE WEST AND EAST 72
STAGE MIGRATION: FACT AND SOURCE OF MIGRATION 73
SPLENECTOMY 73
IMPACT OF D2 DISSECTION ON THE RESULTS OF ADJUVANT TREATMENT 75
SUMMARY 76
REFERENCES 76
Chapter 6. Surgery for Gastric Cancer: What the Trials Indicate 79
EAST-WEST DIFFERENCES IN DIAGNOSIS AND STAGING 79
EXTENT OF ORGAN RESECTION. PROSPECTIVE RANDOMIZED TRAILS ADDRESSING ROUTINE TOTAL GASTRECTOMY VERSUS SUBTOTAL GASTRECTOMY 80
IN SITU AND T-1 DISEASE: ROLE OF ENDOSCOPIC MUCOSAL/SUBMUCOSAL RESECTION 83
EXTENT OF LYMPHADENECTOMY: D1 VERSUS D2 84
MI AND PLANNING A LOW-MI OPERATION 88
EXTENDED PARA-AORTIC NODE DISSECTION (PRE-1997 D4 LYMPHADENECTOMY) 91
FUTURE TRIALS 92
SUMMARY 93
REFERENCES 94
Chapter 7. Preoperative and Postoperative Chemotherapy for Gastric Cancer 99
RATIONALE FOR CHEMOTHERAPEUTIC STRATEGIES IN GASTRIC CANCER 100
TREATMENT PLANNING AND SURGERY 100
ADJUVANT STRATEGIES 100
NEOADJUVANT STRATEGIES 105
SELECTION OF TREATMENT STRATEGY FOR PATIENTS WITH GASTRIC CANCER 106
ONGOING TRIALS 107
SUMMARY 108
ACKNOWLEDGMENTS 109
REFERENCES 109
Chapter 8. Phase I and I I Clinical Trials for Gastric Cancer 113
CHEMOTHERAPY IN ADVANCED GASTRIC CANCER 114
INHIBITORS OF ANGIOGENESIS 115
STRATEGIES TARGETING THE EGFR 118
MAMMALIAN TARGET OF RAPAMYCIN AND ITS INHIBITION 121
OTHER NOVEL APPROACHES TO THERAPY IN GASTRIC CANCER 121
SUMMARY 122
REFERENCES 122
Chapter 9. Endoscopic Mucosal Resection, Endoscopic Submucosal Dissection,and Beyond: Full-Layer Resection for Gastric Cancer with Nonexposure Technique (CLEAN-NET) 129
BASIC PRINCIPLES OF EMR/ESD 130
BRIEF HISTORY OF THE DEVELOPMENT OF EMR/ESD 130
FULL-LAYER RESECTION 134
CLEAN-NET 135
SUMMARY 139
REFERENCES 139
Chapter 10. Laparoscopic Resection for Gastric Carcinoma: Western Experience 141
LAPAROSCOPIC APPROACHES FOR GASTRIC CARCINOMA: WESTERN EXPERIENCE 141
ACKNOWLEDGMENTS 154
REFERENCES 154
Chapter 11. POSTSCRIPT 159
Chapter 12. Molecular Markersfor Incidence, Prognosis, and Response to Therapy 161
INDIVIDUAL GENETIC ALTERATIONSp53 162
TYROSINE KINASES AND TARGETED THERAPIES 165
PROTEOMICS 167
MICRORNAs 167
PERSONALIZED LUNG CANCER TREATMENT—CURRENT TRIALS 168
SUMMARY 169
REFERENCES 169
Index 177