위암의 정의 및 치료법

소개글

위암의 정의 및 전반적인 치료법에 대한 자료입니다.

목차

1. staging
2. 분류
3. surgery
3. chemotherapy

본문내용

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Gastric Cancer (GLs in Japan)
Stage
Treatment option
Stage ⅠA
EMR(Endoscopic mucosal resection) or modified gastrectomy
Stage ⅠB
Modified gastrectomy or standard gastrectomy
Stage Ⅱ
Partial gastrectomy: T1 tumor or T2-3 tumor≥3.0㎝
Total gastrectomy: 5.0㎝≥tumor margin
Stage ⅢA
Standard or extended gastrectomy
Adjuvant and neoadjuvant chemotherapy
Stage ⅢB
Standard or extentded gastrectomy
Adjuvant chemotherapy, Neoadjuvant chemotherapy,
Adjuvant radiotherapy
Stage Ⅳ
Patients with M1 lesion(s) with good Performance status(0-2)
:Chemotherapy(CDDP, 5-FU), radiotherapy, or best supportive care
Patients with severe symptoms, such as bleeding, stenosis and
malnutrition
:Palliative surgery(resection, bypass, gastrostomy, enterostomy)
Patients with T1-3N3 or T4N2-3 lesions without M1
:Extended radical gastrectomy
Gastric Cancer-Surgery
Surgery is the primary treatment for early stage gastric cancer.
☞Surgical therapy가 치료의 원칙
Total gastrectomy- body나 fundus에 생긴 위암에 시행.
Subtotal gastrectomy
- antrum에 생긴 위암에 시행.
Principle of Surgery
Staging
Determine extent of disease with CT scan, EUS
Laparoscopy may be useful.
Resectable tumors

참고 자료

NCCN http://www.nccn.org/index.asp
ASCO
http://www.asco.org
National Cancer Institute
http://www.cancer.gov