Clinical recommendations for diagnosis, treatment and monitoring of patients with gastric cancer [Clinical recommendations diagnosis, treatment and monitoring of patients with gastric cancer]
2018
Although the incidence of the most frequent malignant gastric tumour, adenocarcinoma, has been decreasing,
during the last decades the incidence of proximal localizations of gastric cancer as well as esophagogastric cancer
has been increasing. Due to the late detection of initially advanced disease the outcomes of treatment for the patients
are unsatisfactory. Diagnosis is set by tumour biopsy during endoscopy. The basis of treatment of locoregional disease
is surgery in combination with perioperative chemotherapy. Alternatively, if no preoperative chemotherapy is administered,
adjuvant chemoradiotherapy or chemotherapy should be performed. Metastatic disease is treated with palliative
chemotherapy and best supportive care. Treatment decisions should be individualized according to patients’ characteristics
and made after multidisciplinary team discussion. The following text presents the clinical guidelines in order to
standardize the diagnostic procedures, treatment and monitoring of patients with gastric cancers in the Republic of
Croatia.
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