학술논문

A Comprehensive Review of Prognostic Factors in Patients with Gastric Adenocarcinoma.
Document Type
Article
Source
Cancers. Mar2023, Vol. 15 Issue 5, p1628. 14p.
Subject
*STOMACH tumors
*ADENOCARCINOMA
*ONLINE information services
*MEDICAL information storage & retrieval systems
*SYSTEMATIC reviews
*CELL physiology
*SURVIVAL analysis (Biometry)
*MEDLINE
Language
ISSN
2072-6694
Abstract
Simple Summary: Gastric adenocarcinoma remains associated with a poor prognosis despite recent therapeutical advances. As diagnosis is frequently made at an advanced stage, long-term outcome is dismal. Individualized identification of factors associated with poor prognosis allows more precise survival prediction and, in some cases, to propose targeted treatment through individualized precision medicine. This review aims to highlight the prognosis determinants of these tumors and potential therapeutical impact from the available literature. Gastric adenocarcinoma remains associated with a poor long-term survival, despite recent therapeutical advances. In most parts of the world where systematic screening programs do not exist, diagnosis is often made at advanced stages, affecting long-term prognosis. In recent years, there is increasing evidence that a large bundle of factors, ranging from the tumor microenvironment to patient ethnicity and variations in therapeutic strategy, play an important role in patient outcome. A more thorough understanding of these multi-faceted parameters is needed in order to provide a better assessment of long-term prognosis in these patients, which probably also require the refinement of current staging systems. This study aims to review existing knowledge on the clinical, biomolecular and treatment-related parameters that have some prognostic value in patients with gastric adenocarcinoma. [ABSTRACT FROM AUTHOR]