Gastric cancer: Translating novels concepts into clinical practice

Massimiliano Salati, Giulia Orsi, Elisabeth Smyth, Giuseppe Aprile, Giordano Beretta, Fernando De Vita, Maria Di Bartolomeo, Valentina Fanotto, Sara Lonardi, Federica Morano, Filippo Pietrantonio, Carmine Pinto, Lorenza Rimassa, Enrico Vasile, Caterina Vivaldi, Alberto Zaniboni, Pina Ziranu, Stefano Cascinu

Research output: Contribution to journalArticlepeer-review


The overall 5-year survival of gastric cancer (GC) has change only little in the last decades and it remains the fifth leading cause of cancer-related death worldwide. However, in the past few years a more effective combination chemotherapy has raised the bar of curability of about 10% in resectable disease. Morever, a deeper knowledge of GC biology have unveiled biomarkers to help personalize adjunctive treatments in patients candidate to surgery. Despite a plateau in efficacy of fist-line treatment, incremental survival advantages have been recorded in unresectable advanced disease. The growing number of effective drugs in second and later lines along with a more judicious delivery of cytotoxics and early supportive interventions have enabled more patients to proceed beyond first-line. The continuum of care has become a reality in a considerable proportion of patients that offer opportunities to improve outcomes. Finally, the advent of the immune checkpoint inhibitors has brought great expectations in molecularly-defined subset of patients. This Review summarizes the state-of-the art in the management of GC together with novel concepts that have entered clinical development with the potential of change practice in the foreseeable future.
Original languageEnglish
JournalCancer Treatment Reviews
Publication statusPublished - Sep 2019


  • Animals
  • Clinical Trials as Topic
  • Disease Management
  • Drug Therapy, Combination
  • Humans
  • Precision Medicine
  • Stomach Neoplasms/diagnosis
  • Translational Medical Research
  • Treatment Outcome


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