Current and Emerging Systemic Therapy in Gastro-Esophageal Cancer “The Old and New Therapy for Metastatic Disease, The Role of Adjuvant and Neoadjuvant Therapy for Localized Disease”

Author(s): Bora Lim, Yixing Jiang.

Journal Name: Current Clinical Pharmacology

Volume 10 , Issue 4 , 2015

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Abstract:

Cancers of esophagus and stomach are common malignant diseases worldwide, and they are associated with serious morbidity and high mortality rates. When diagnosed at an early stage, gastro-esophageal cancers are potentially curable. Neo-adjuvant or adjuvant therapies using both chemotherapy and radiation therapy have been shown to reduce the risk of local recurrence and distant metastasis. For advanced or metastatic tumors, systemic chemotherapy offers symptomatic palliation and moderate benefits in survival. With recent advances in anti-cancer therapeutics, progress has been made to improve treatment response and life expectancy in patients with advanced gastro-esophageal cancers. Furthermore, the clinical use of molecularly targeted agents in combination with cytotoxic chemotherapeutics is being evaluated in a number of ongoing clinical trials. In this article, we review currently used standard systemic therapies including recently evolving targeted therapies for metastatic gastro-esophageal cancers, as well as the proven role and the regimens that are used as neoadjuvant and adjuvant treatment in localized gastro-esophageal cancers.

Keywords: Esophageal cancer, gastric cancer, gastro-esophageal cancer, gastro-esophageal junction tumor, GI cancers, systemic therapy, targeted therapy.

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Article Details

VOLUME: 10
ISSUE: 4
Year: 2015
Page: [267 - 278]
Pages: 12
DOI: 10.2174/1574884710666151020100329
Price: $58

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