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http://dx.doi.org/10.5230/jgc.2012.12.2.55

Comparisons of Gastric Cancer Treatments: East vs. West  

Bickenbach, Kai (Department of Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Medical School)
Strong, Vivian E (Department of Surgery, Memorial Sloan-Kettering Cancer Center)
Publication Information
Journal of Gastric Cancer / v.12, no.2, 2012 , pp. 55-62 More about this Journal
Abstract
There has been a large amount of speculation concerning the differences in the outcomes in patients who have gastric cancer in the Eastern and Western worlds. The differences in biology, surgical and adjuvant treatment have been used to explain such differences. There are clear differences observed in the histology (diffuse vs. intestinal), tumor location (proximal vs. distal), environmental exposures, dietary factors and Helicobacter pylori status. A higher incidence of gastric cancer in the East has led to screening programs, and leading to an earlier stage at presentation. Surgical treatment differs in that the extended lymph node dissection is routinely practiced in the Asian countries. Additionally, different adjuvant therapeutic regimens are used in both regions. The purpose of this review is to describe the differences in both presentation and treatment between the East and the West.
Keywords
Gastric Cancer; Gastric adenocarcinoma; Western experience; Eastern experience; Gastric cancer survival;
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