What treatment regimen would you choose for a patient with gastric adenocarcinoma who is found to have peritoneal and omental implants at the time of surgery after receiving preoperative FLOT?
Answer from: Medical Oncologist at Academic Institution
I think there are 2 ways to answer this question. The more straightforward scenario is if the patient had a diagnostic laparoscopy prior to starting pre-operative chemotherapy and did not have either gross peritoneal disease or positive peritoneal cytology. In this case, this would be clear progress...
Answer from: Medical Oncologist at Academic Institution
I agree with @Geoffrey Y. Ku. Appropriate staging is fundamental to treatment selection. If this patient had staging laparoscopy and had no peritoneal disease, current findings indicate disease progression and the patient should be treated with second line therapy regimens. On the other hand, if thi...