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Invited Critique
March 2010

Further Refinement of the Optimal Treatment Following Radical Gastric Resection for Gastric Adenocarcinoma: Comment on “Adjuvant Chemoradiotherapy in Patients With Stage III or IV Radically Resected Gastric Cancer”

Author Affiliations

Author Affiliations: Montreal General Hospital, Division of Thoracic Surgery, McGill University, Montreal, Quebec, Canada.

Arch Surg. 2010;145(3):239. doi:10.1001/archsurg.2010.3

Resection remains the cornerstone of curative treatment for gastric cancer, but it is associated with a cure rate of 25% to 35%. Recent positive results from large phase 3 trials1-3 leave the surgical oncologist with several options. Two accepted standards of care in the West focus on adjuvant CT-RT based on the North American Intergroup 0116 trial and perioperative CT based on the MAGIC trial from Britain.

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