J Natl Compr Canc Netw. 2016 Oct;14(10):1286-1312. doi: 10.6004/jnccn.2016.0137.
Gastric cancer is the fifth most frequently diagnosed cancer and the third leading cause of death from cancer in the world. Several advances have been made in the staging procedures, imaging techniques, and treatment approaches. The NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Gastric Cancer provide an evidence- and consensus-based treatment approach for the management of patients with gastric cancer. This manuscript discusses the recommendations outlined in the NCCN Guidelines for staging, assessment of HER2 overexpression, systemic therapy for locally advanced or metastatic disease, and best supportive care for the prevention and management of symptoms due to advanced disease.
胃癌是全球第五大常见癌症,也是癌症死亡的第三大主要原因。在分期程序、成像技术和治疗方法方面取得了一些进展。美国国家综合癌症网络(NCCN)临床实践指南(NCCN 指南)为胃癌患者的管理提供了一种基于证据和共识的治疗方法。本文讨论了 NCCN 指南中关于分期、HER2 过表达评估、局部晚期或转移性疾病的系统治疗以及晚期疾病症状预防和管理的最佳支持性护理的建议。