Gastric & Breast Cancer
DOI: 10.2122/gbc.2002.0004

REVIEW

Treatment of Gastric Cancer: Early-Stage, Advanced-Stage Cancer, Adjuvant Treatment

Dimitrios H. Roukos DH, MD, Michael Fatouros, MD, Nikolaos Xeropotamos, MD and Angelos M. Kappas, MD
From the Department of Surgery, Ioannina University School of Medicine, 45110 Ioannina, Greece,
droukos@cc.uoi.gr
  

With advances in understanding the spread of the primary tumor and patterns of recurrences of adenocarcinoma of the stomach and the availability of long-term follow-up data, a trend towards a tumor stage-stratified treatment strategy has increasingly received considerable attention.

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Because management and prognosis of early gastric cancer and advanced gastric cancer substantially differ and current advances in imaging technology allow us with increasing accuracy a pre-treatment staging of the disease, that is precondition for a differentiated treatment, we separately review the therapeutic approach of early and advanced gastric cancer. Emphasis is given on the risks and potential benefits of such a treatment strategy.