Neo-adjuvant chemotherapy for operable gastric cancer: long term results of the Dutch randomised FAMTX trial.
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Publication year
2004Source
European Journal of Surgical Oncology, 30, 6, (2004), pp. 643-9ISSN
Publication type
Article / Letter to editor
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Organization
Pathology
Journal title
European Journal of Surgical Oncology
Volume
vol. 30
Issue
iss. 6
Page start
p. 643
Page end
p. 9
Subject
UMCN 1.3: Tumor microenvironmentAbstract
AIMS: Gastric cancer in Western countries is often diagnosed in an advanced stage and prognosis is poor. We performed a randomised trial with pre-operative FAMTX vs. surgery alone in order to evaluate the effect of pre-operative chemotherapy on resectability and survival. METHODS: Patients with proven adenocarcinoma of the stomach were randomised to receive four courses of chemotherapy using 5-Fluorouracil, doxorubicin and methotrexate (FAMTX) prior to surgery or to undergo surgery alone. RESULTS: Fifty-nine patients were randomised; 29 patients were allocated to the FAMTX regimen prior to surgery and 30 patients had surgery alone. Resectability rates were equal for both groups. Complete or partial response was registered in 32% of the FAMTX group. With a median follow-up of 83 months the median survival since randomisation is 18 months in the FAMTX group vs. 30 months in the surgery alone group (p=0.17). CONCLUSIONS: This trial could not show a beneficial effect of pre-operative FAMTX. Until large randomised studies prove otherwise, adequate surgery without delay is the best treatment for operable gastric cancer.
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- Academic publications [245103]
- Electronic publications [132420]
- Faculty of Medical Sciences [93207]
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