2017
DOI: 10.1007/s10147-017-1128-8
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The survival and prognosticators of peritoneal cytology-positive gastric cancer patients who received upfront gastrectomy and subsequent S-1 chemotherapy

Abstract: The present study confirmed the efficacy of postoperative S-1 chemotherapy for CY1-only gastric cancer patients who received upfront surgery. This strategy might be recommended as clinical practice for patients with CY1 disease but a more effective treatment should be established for CY1-positive patients, especially for those who are diagnosed with CY1 and pN3b disease.

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Cited by 19 publications
(23 citation statements)
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“…Peritoneal recurrence occurred in 62% of enrolled patients[ 18 ]. Similar results were confirmed by other groups from the East[ 19 - 21 ]. Kano et al [ 19 ] presented a retrospective study with a median follow-up of almost 10 years.…”
Section: Upfront Surgery For Cy1 Gc Patientssupporting
confidence: 92%
“…Peritoneal recurrence occurred in 62% of enrolled patients[ 18 ]. Similar results were confirmed by other groups from the East[ 19 - 21 ]. Kano et al [ 19 ] presented a retrospective study with a median follow-up of almost 10 years.…”
Section: Upfront Surgery For Cy1 Gc Patientssupporting
confidence: 92%
“…cN3 (vs. cN0-2) was shown to be a significant independent indicator for an unfavorable OS by multivariable analyses among CY1P0 patients [10,15,16]. Furthermore, Kano et al [17] showed that pN3b (vs. pN0-3a) was associated with an extremely poor prognosis. Saito et al [18] indicated that the prognosis of CY1P0 patients without pathological lymph node metastasis was good, whereas that of those with pathological lymph node metastasis was extremely poor.…”
Section: Discussionmentioning
confidence: 99%
“…Scientific-based data regarding the treatment of gastric cancer patients with positive exfoliative cytology are not enough, and there is a need for large-scale, prospective randomized control trials. The results of CCOG0301 study demonstrated that CY1 patients could benefit from S-1 as adjuvant chemotherapy after radical gastrectomy [132], and it was further reported that their mOS could reach up to 22.3 months [133]. Selected P0CY1 gastric cancer patients may benefit from systemic chemotherapy in combination with surgery.…”
Section: Comprehensive Treatment Of Gastric Cancermentioning
confidence: 99%