Would you consider perioperative immunotherapy for a patient with locally advanced, resectable gastric cancer but not a candidate for chemotherapy?
On occasion, patients with locally advanced gastric cancer are poor candidates for FLOT-like chemotherapy. Should such patients be taken to surgery upfront or following a course of RT? Would a short course of perioperative immunotherapy be considered in this situation?
1 Answer
Mednet MemberInvited Expert
Medical Oncology · Massachusetts General Hospital
Answered on
Some aspects of the management in this situation are influenced by the surgical candidacy. If this patient is not a candidate for chemotherapy it would be critical to have a multidisciplinary assessment for surgical candidacy. Unfit for chemo but fit for surgery is a relatively uncommon clinical sit...
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