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Recent progress of chemotherapy and biomarkers for gastroesophageal cancer

Recent progress of chemotherapy and biomarkers for gastroesophageal cancer

作     者:Osamu Maeda Yuichi Ando 

作者机构:Department of Clinical Oncology and Chemotherapy Nagoya University Hospital 

出 版 物:《World Journal of Gastrointestinal Oncology》 (世界胃肠肿瘤学杂志(英文版)(电子版))

年 卷 期:2019年第11卷第7期

页      面:518-526页

核心收录:

学科分类:1002[医学-临床医学] 10[医学] 

主  题:Gastroesophageal cancer Chemotherapy Biomarker HER2 

摘      要:Key cytotoxic drugs of chemotherapy for gastroesophageal cancer include fluoropyrimidine, platinum, taxanes and irinotecan. Concurrent chemoradiotherapy is one of the main treatment strategies, especially for esophageal cancer. As molecular target agents, the anti-HER2 antibody trastuzumab for HER2-positive gastric cancer and the anti-angiogenesis agent ramucirumab combined with paclitaxel have been proven to improve the survival of gastric cancer patients. Recently, anti-PD-1 antibodies have become available as second- or later-line chemotherapy. Microsatellite instability is also useful as a biomarker to select patients suitable for immunotherapy. Furthermore, genome-wide analysis has improved our understanding of the biological features and molecular mechanisms of gastroesophageal cancer and will provide optimized treatment selection.

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