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Decision Tools for Radiation Oncology pp 127–140Cite as

Gastric Cancer

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Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

Abstract

The use of radiotherapy for treatment of gastric cancer has become commonplace over the past 10 years following reporting of the US Intergroup Trial 0116. However, gastric irradiation has proved to be very challenging for radiation oncologists. Aside from the technical difficulties associated with radiotherapy, there are also many clinical challenges faced by clinicians when deciding optimal treatment for patients with gastric cancer. With increasing use of perioperative chemotherapy and more extensive surgical resection, the indications for radiotherapy have become less well defined. Radiation oncologists are also wary of the acute and potential late toxicities associated with abdominal irradiation. This chapter will describe the challenges faced by radiation oncologists when treating gastric cancer and summarise the available evidence regarding prognostic and predictive factors for survival, response and toxicity after radiotherapy.

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  1. Division of Radiation Oncology, Peter MacCallum Cancer Centre, Locked Bag 1, A’Beckett Street, Melbourne, VIC, 8006, Australia

    Trevor Leong

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  1. Department of Oncology, Nordland Hospital Trust Bodø University of Tromsø, Bodø, Norway

    Carsten Nieder

  2. Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado, USA

    Laurie E. Gaspar

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Leong, T. (2013). Gastric Cancer. In: Nieder, C., Gaspar, L. (eds) Decision Tools for Radiation Oncology. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2013_829

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