Comprehensive treatment of advanced gastric cancer Progress.docVIP

 PAGE \* MERGEFORMAT 18 Comprehensive treatment of advanced gastric cancer Progress [Keywords:] comprehensive treatment of advanced gastric cancer Progress In the treatment of gastric cancer, the surgery has been dominated, and advanced gastric cancer (advanced gastric carcinoma, AGC) even radical resection, the local recurrence rate of up to 50%, less than 30% long-term survival . The argument has been repeatedly confirmed by scholars, AGC to bring the body is no longer a local matter only through surgery, can not be better to improve the quality of life of patients, and therefore surgical treatment of combined therapy were high hopes . In this paper, the comprehensive treatment of AGC reviewed. 1 preoperative staging of gastric cancer and its significance Accurate preoperative staging and reasonable treatment of choice is critical, especially for a wide range of distant organ metastasis and peritoneal metastasis of advanced gastric cancer patients avoid unnecessary surgery pain. However, traditional methods include preoperative examination endoscopy, X ray contrast examination in the preoperative staging and other obvious limitations. With the development of preoperative staging techniques, endoscopic ultrasonography (EUS), multi-slice spiral CT (MSCT), magnetic resonance imaging ( MRI), positron emission tomography (PET) and laparoscopic ultrasonography (LUS) and so can be used as a preoperative staging. now generally believed that EUS, MSCT and MRI examination methods such as the sensitivity of peritoneal metastasis of gastric cancer than low, while the LUS is a combination of laparoscopic and endoscopic ultrasound examination of the merits of the T staging of gastric cancer and M staging accuracy rate of 92% [1]. LUS with the detection of intraperitoneal free cancer cells but also in preoperative staging of a viable means. PET is in addition to lymph node metastasis of gastric cancer to determine its higher sensitivity, but also as a tumor dete