Chemotherapy beyond second-line in advanced gastric cancer.

Abstract:

:Patients with advanced gastric cancer (AGC) can be treated with multiple lines of chemotherapy. Although several randomized trials have demonstrated the benefit of second-line chemotherapy compared with best supportive care, there is no evidence that further lines of chemotherapy will result in substantial prolongation of survival. Despite this, the practice of offering chemotherapy beyond second-line agents to AGC patients is not uncommon if their performance status is well-preserved and they are willing to receive subsequent active treatments. The choice of chemotherapeutic agents depends on the patient's prior regimens. However, there are important controversial issues in the salvage setting of AGC, including a subset of patients who may benefit from chemotherapy, that still remain unanswered. This report reviews the available evidence regarding the impact of third- and subsequent lines of chemotherapy on survival and quality of life in patients with AGC.

journal_name

World J Gastroenterol

authors

Kim SM,Park SH

doi

10.3748/wjg.v21.i29.8811

subject

Has Abstract

pub_date

2015-08-07 00:00:00

pages

8811-6

issue

29

eissn

1007-9327

issn

2219-2840

journal_volume

21

pub_type

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