Current best practices and rationalistic perspectives in causation-based prevention, early detection and multidisciplinary treatment of breast and gastric cancer


Gastric & Breast Cancer e-journal
DOI: 10.2122/gbc.2007.0056

COMMENTARY

 

Preventing CDH1 Mutation Carriers
Theodore Liakakos, M.D.
 


Prognosis of gastric cancer in the West is poor with an overall 5-year survival rate of only 23% in the U.S.A. [1]. Although high survival rates are reported with adequate local therapy (surgery ) in early-stages gastric adenocarcinoma [2,3] or lymphoma [4], most patients in the West have a late diagnosis in advanced tumor stages with poor outcomes. Despite adequate locoregional tumor control with standardized, Japanese-type D2/D3 lymphadenectomy [2,5-8] or limited D1 surgery plus chemoradiation [9,10] and modest efficacy of adjuvant chemotherapy [11], recurrence and survival rates are disappointing [1].

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Online ISSN : 1109 - 7647
   Print ISSN : 1109 - 7655

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last update: 3 February 2004