Gastric Cancer
Conditions
Keywords
Microsatellite Instability, Fluorouracil, Adjuvant chemotherapy, Efficacy, Operation
Brief summary
The relationship between Microsatellite instability and efficacy of fluorouracil based adjuvant chemotherapy in gastric cancer after operation.
Detailed description
To explore the relationship between Microsatellite instability and efficacy of fluorouracil based adjuvant chemotherapy in gastric cancer after operation.
Interventions
The microsatellite instability status are definite to three type:MSI-H, MSI-L,and MSS. The gastric cancer patients who received D2 resection were included in 3 groups:MSI-H group, MSI-L group,and MSS group. All patient must be accept fluorouracil(5-FU) based adjuvant chemotherapy. We will analyze the relationship between MSI status and efficacy of 5-FU based adjuvant chemotherapy by observing the survival period of patients with different MSI status.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Histopathology or cytopathology proven gastric cancer; 2. Operable advanced gastric cancer patients: primary lesions can be completely excision, no distant metastasis; 3. Postoperative patients who can tolerate 5-FU based (5-FU,S-1 or Capecitabine) adjuvant chemotherapy; 4. Life expectancy of at least 6 months; 5. ECOG(Eastern Cooperative Oncology Group ) score 0-1; 6. Age: 18\ 80 years old; 7. Normal hemodynamic indices before the recruitment (including blood cell count and liver/kidney function). * For example: WBC(White blood cell count )\>4.0×109/L; NEU(Neutrophils)\>1.5×109/L; PLT(Platelet)\>100×109/L; 8. Roughly normal cardiopulmonary function: No coronary heart disease, myocardial infarction, pulmonary heart disease, refractory hypertension; 9. Not concomitant with other uncontrollable benign diseases before the recruitment; 9\. Voluntarily signed the informed consent.
Exclusion criteria
1. Advanced gastric cancer patients with distant metastasis and inoperable ; 2. Patients who cannot tolerate 5-FU based adjuvant chemotherapy; 3. Pregnant or lactating women; 4. Patients who have no desire to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease Free Survival | 5 years | The time from the primary operation to disease recurrence or death. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival(OS) | 5 years | The The time from operation to death or the last follow-up. The time from operation to death or the last follow-up. |
Countries
China