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Journal ArticleDOI

Management of gastric cancer in Asia: resource-stratified guidelines

TLDR
This work aims to provide a stepwise strategy for management of gastric cancer applicable to different levels of health-care resources in Asian countries, using the categories of basic, limited, enhanced, and maximum level.
Abstract
Summary Gastric cancer is the fourth most common cancer globally, and is the second most common cause of death from cancer worldwide. About three-quarters of newly diagnosed cases in 2008 were from Asian countries. With a high mortality-to-incidence ratio, management of gastric cancer is challenging. We discuss evidence for optimum management of gastric cancer in aspects of screening and early detection, diagnosis, and staging; endoscopic and surgical intervention; and the concepts of perioperative, postoperative, and palliative chemotherapy and use of molecularly targeted therapy. Recommendations are formulated on the basis of the framework provided by the Breast Health Global Initiative, using the categories of basic, limited, enhanced, and maximum level. We aim to provide a stepwise strategy for management of gastric cancer applicable to different levels of health-care resources in Asian countries.

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Citations
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Curcumin suppresses the progression of gastric cancer by regulating circ_0056618/miR-194-5p axis.

TL;DR: In this article, the authors showed that curcumin treatment led to a decrease in circ_0056618 level in GC cells and miR-194-5p was reduced in GC tissues and cells.
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miRNAs derived from plasma small extracellular vesicles predict organo-tropic metastasis of gastric cancer

TL;DR: In this article , small extracellular vesicle (sEV)-derived miRNAs were used to predict the organo-tropic metastasis of gastric cancer.
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Low abundance of TFPI-2 by both promoter methylation and miR-27a-3p regulation is linked with poor clinical outcome in gastric cancer

TL;DR: The present study aimed to improve the understanding of the oncogenic properties of TFPI‐2 in gastric cancer by studying its role in tumor suppressor role and tumorigenicity.
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ESD Around the World: United States

TL;DR: Simplification of technique, modification of tools and materials, and improved availability of training opportunities are essential in order to accelerate the adoption of ESD in the United States.
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Gimatecan exerts potent antitumor activity against gastric cancer in vitro and in vivo via AKT and MAPK signaling pathways.

TL;DR: For the first time, the antitumor activity of gimatecan in GC is shown via suppressing AKT and ERK pathway and activating JNK2 and p38 MAPK pathway, which indicated that gimate can might be an alternative to irinotecan in the treatment of GC.
References
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Journal ArticleDOI

Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008.

TL;DR: The results for 20 world regions are presented, summarizing the global patterns for the eight most common cancers, and striking differences in the patterns of cancer from region to region are observed.
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Perioperative Chemotherapy versus Surgery Alone for Resectable Gastroesophageal Cancer

TL;DR: In patients with operable gastric or lower esophageal adenocarcinomas, a perioperative regimen of ECF decreased tumor size and stage and significantly improved progression-free and overall survival.
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Management of Helicobacter pylori infection—the Maastricht IV/ Florence Consensus Report

TL;DR: In this 4th edition of the Maastricht consensus report aspects related to the clinical role of H pylori were looked at again in 2010, with recommendations to guide doctors involved in the management of this infection associated with various clinical conditions.
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Capecitabine and oxaliplatin for advanced esophagogastric cancer.

TL;DR: Capecitabine and oxaliplatin are as effective as fluorouracil and cisplatin, respectively, in patients with previously untreated esophagogastric cancer, in a two-by-two design.
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