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Prognostic Significance of Basing Treatment Strategy on the Results of Photodynamic Diagnosis in Advanced Gastric Cancer.

BACKGROUNDWe have previously reported that use of a staging laparoscopy (SL) combined with photodynamic diagnosis using 5-aminolevulinic acid (ALA-SL) improves sensitivity in detecting peritoneal dissemination in gastric cancer (GC). The purpose of this study was to examine the clinical significance... Full description

Journal Title: Annals of surgical oncology April 2017, Vol.24(4), pp.983-989
Main Author: Ushimaru, Yuki
Other Authors: Fujiwara, Yoshiyuki , Kishi, Kentaro , Sugimura, Keijiro , Omori, Takeshi , Moon, Jeong-Ho , Yanagimoto, Yoshitomo , Ohue, Masayuki , Yasui, Masayoshi , Takahashi, Hidenori , Kobayashi, Shogo , Akita, Hirofumi , Miyoshi, Norikatsu , Tomokuni, Akira , Sakon, Masato , Yano, Masahiko
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1534-4681 ; DOI: 10.1245/s10434-016-5660-y
Link: http://search.proquest.com/docview/1837281524/?pq-origsite=primo
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title: Prognostic Significance of Basing Treatment Strategy on the Results of Photodynamic Diagnosis in Advanced Gastric Cancer.
format: Article
creator:
  • Ushimaru, Yuki
  • Fujiwara, Yoshiyuki
  • Kishi, Kentaro
  • Sugimura, Keijiro
  • Omori, Takeshi
  • Moon, Jeong-Ho
  • Yanagimoto, Yoshitomo
  • Ohue, Masayuki
  • Yasui, Masayoshi
  • Takahashi, Hidenori
  • Kobayashi, Shogo
  • Akita, Hirofumi
  • Miyoshi, Norikatsu
  • Tomokuni, Akira
  • Sakon, Masato
  • Yano, Masahiko
subjects:
  • Aged–Therapeutic Use
  • Aminolevulinic Acid–Etiology
  • Antineoplastic Combined Chemotherapy Protocols–Pathology
  • Ascites–Methods
  • Female–Diagnostic Imaging
  • Gastrectomy–Secondary
  • Humans–Therapy
  • Laparoscopy–Diagnostic Imaging
  • Lymphatic Metastasis–Pathology
  • Male–Therapy
  • Middle Aged–Therapy
  • Neoplasm Staging–Therapy
  • Optical Imaging–Therapy
  • Peritoneal Lavage–Therapy
  • Peritoneal Neoplasms–Therapy
  • Photosensitizing Agents–Therapy
  • Prognosis–Therapy
  • Risk Factors–Therapy
  • Sex Factors–Therapy
  • Stomach Neoplasms
ispartof: Annals of surgical oncology, April 2017, Vol.24(4), pp.983-989
description: BACKGROUNDWe have previously reported that use of a staging laparoscopy (SL) combined with photodynamic diagnosis using 5-aminolevulinic acid (ALA-SL) improves sensitivity in detecting peritoneal dissemination in gastric cancer (GC). The purpose of this study was to examine the clinical significance of basing treatment strategies on the results of ALA-SL in patients with advanced GC. PATIENTS AND METHODSALA-SL was performed on 113 patients with advanced GC prior to determination of their first course of treatment. According to the results of ALA-SL, patients were divided into four groups, including those classified as P0 (45%), ALA-P (12%), P1 plus P2 (23%), and P3 (20%). Patients with peritoneal metastases were subjected to chemotherapy. In addition, drug responders also received a gastrectomy. Treatment outcomes and patient characteristics stratified upon the results of ALA-SL were then analyzed. RESULTSThe 3-year survival rates for patients in the P0, ALA-P, P1-2, and P3 groups were...
language: eng
source:
identifier: E-ISSN: 1534-4681 ; DOI: 10.1245/s10434-016-5660-y
fulltext: fulltext
issn:
  • 15344681
  • 1534-4681
url: Link


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titlePrognostic Significance of Basing Treatment Strategy on the Results of Photodynamic Diagnosis in Advanced Gastric Cancer.
creatorUshimaru, Yuki ; Fujiwara, Yoshiyuki ; Kishi, Kentaro ; Sugimura, Keijiro ; Omori, Takeshi ; Moon, Jeong-Ho ; Yanagimoto, Yoshitomo ; Ohue, Masayuki ; Yasui, Masayoshi ; Takahashi, Hidenori ; Kobayashi, Shogo ; Akita, Hirofumi ; Miyoshi, Norikatsu ; Tomokuni, Akira ; Sakon, Masato ; Yano, Masahiko
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ispartofAnnals of surgical oncology, April 2017, Vol.24(4), pp.983-989
identifierE-ISSN: 1534-4681 ; DOI: 10.1245/s10434-016-5660-y
subjectAged–Therapeutic Use ; Aminolevulinic Acid–Etiology ; Antineoplastic Combined Chemotherapy Protocols–Pathology ; Ascites–Methods ; Female–Diagnostic Imaging ; Gastrectomy–Secondary ; Humans–Therapy ; Laparoscopy–Diagnostic Imaging ; Lymphatic Metastasis–Pathology ; Male–Therapy ; Middle Aged–Therapy ; Neoplasm Staging–Therapy ; Optical Imaging–Therapy ; Peritoneal Lavage–Therapy ; Peritoneal Neoplasms–Therapy ; Photosensitizing Agents–Therapy ; Prognosis–Therapy ; Risk Factors–Therapy ; Sex Factors–Therapy ; Stomach Neoplasms
descriptionBACKGROUNDWe have previously reported that use of a staging laparoscopy (SL) combined with photodynamic diagnosis using 5-aminolevulinic acid (ALA-SL) improves sensitivity in detecting peritoneal dissemination in gastric cancer (GC). The purpose of this study was to examine the clinical significance of basing treatment strategies on the results of ALA-SL in patients with advanced GC. PATIENTS AND METHODSALA-SL was performed on 113 patients with advanced GC prior to determination of their first course of treatment. According to the results of ALA-SL, patients were divided into four groups, including those classified as P0 (45%), ALA-P (12%), P1 plus P2 (23%), and P3 (20%). Patients with peritoneal metastases were subjected to chemotherapy. In addition, drug responders also received a gastrectomy. Treatment outcomes and patient characteristics stratified upon the results of ALA-SL were then analyzed. RESULTSThe 3-year survival rates for patients in the P0, ALA-P, P1-2, and P3 groups were...
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14Sakon, Masato
15Yano, Masahiko
titlePrognostic Significance of Basing Treatment Strategy on the Results of Photodynamic Diagnosis in Advanced Gastric Cancer.
descriptionBACKGROUNDWe have previously reported that use of a staging laparoscopy (SL) combined with photodynamic diagnosis using 5-aminolevulinic acid (ALA-SL) improves sensitivity in detecting peritoneal dissemination in gastric cancer (GC). The purpose of this study was to examine the clinical significance of basing treatment strategies on the results of ALA-SL in patients with advanced GC. PATIENTS AND METHODSALA-SL was performed on 113 patients with advanced GC prior to determination of their first course of treatment. According to the results of ALA-SL, patients were divided into four groups, including those classified as P0 (45%), ALA-P (12%), P1 plus P2 (23%), and P3 (20%). Patients with peritoneal metastases were subjected to chemotherapy. In addition, drug responders also received a gastrectomy. Treatment outcomes and patient characteristics stratified upon the results of ALA-SL were then analyzed. RESULTSThe 3-year survival rates for patients in the P0, ALA-P, P1-2, and P3 groups were...
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titlePrognostic Significance of Basing Treatment Strategy on the Results of Photodynamic Diagnosis in Advanced Gastric Cancer.
authorUshimaru, Yuki ; Fujiwara, Yoshiyuki ; Kishi, Kentaro ; Sugimura, Keijiro ; Omori, Takeshi ; Moon, Jeong-Ho ; Yanagimoto, Yoshitomo ; Ohue, Masayuki ; Yasui, Masayoshi ; Takahashi, Hidenori ; Kobayashi, Shogo ; Akita, Hirofumi ; Miyoshi, Norikatsu ; Tomokuni, Akira ; Sakon, Masato ; Yano, Masahiko
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13Peritoneal Lavage–Therapy
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15Photosensitizing Agents–Therapy
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18Sex Factors–Therapy
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abstractBACKGROUNDWe have previously reported that use of a staging laparoscopy (SL) combined with photodynamic diagnosis using 5-aminolevulinic acid (ALA-SL) improves sensitivity in detecting peritoneal dissemination in gastric cancer (GC). The purpose of this study was to examine the clinical significance of basing treatment strategies on the results of ALA-SL in patients with advanced GC. PATIENTS AND METHODSALA-SL was performed on 113 patients with advanced GC prior to determination of their first course of treatment. According to the results of ALA-SL, patients were divided into four groups, including those classified as P0 (45%), ALA-P (12%), P1 plus P2 (23%), and P3 (20%). Patients with peritoneal metastases were subjected to chemotherapy. In addition, drug responders also received a gastrectomy. Treatment outcomes and patient characteristics stratified upon the results of ALA-SL were then analyzed. RESULTSThe 3-year survival rates for patients in the P0, ALA-P, P1-2, and P3 groups were...
doi10.1245/s10434-016-5660-y
urlhttp://search.proquest.com/docview/1837281524/
issn10689265
date2017-04-01