How do you approach the treatment for locally advanced gastric adenosquamous carcinoma following D2 resection?
Of note, CLASSIC (Noh; Lancet Onc 2014) nor ARTIST (Lee; JCO 2012) evaluated other histologic subtypes, is the approach to treatment any different than for Gastric Adenocarcinoma?
2 Answers
Mednet MemberInvited Expert
Medical Oncology · Massachusetts General Hospital
Answered on
As you suggested, there is a paucity of prospective data for gastric adenosquamous carcinomas (ASC). Some retrospective works (see Sci Rep 7, 4597 (2017)) have suggested higher T-stage, more nodal involvement, and worse prognosis, when compared to traditional adenocarcinomas. Whether or not this rep...
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Mednet MemberInvited Expert
Medical Oncology · Henry Ford Cancer Institute (HFCI)
Answered on
Prospective data will not be available. In the absence of better clinical or molecular guidance, I will treat such patients same way I treat adenocarcinomas.
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