First-line chemotherapy regimens for gastric cancer, such as docetaxel, cisplatin, fluorouracil regimen, oxaliplatin, calcium folinate, fluorouracil, etc., should be formulated according to the patient’s condition and specific situation, etc., and cannot be generalized, and timely and standardized treatment is recommended.
Whether gastric cancer should be treated with surgery or radiotherapy first, generally need to carry out abdominopelvic enhancement CT plus gastric three-dimensional reconstruction for staging assessment.
Neoadjuvant chemotherapy or radiotherapy is recommended for patients with locally progressive gastric cancer without distant metastasis. Commonly used drugs are platinum drugs (oxaliplatin, cisplatin, etc.) and fluorouracil drugs (Tegretol, capecitabine, etc.). After about three months of radiotherapy, the efficacy will be evaluated, and according to the result, it will be decided whether to carry out surgical treatment or not.
If distant metastasis occurs in the advanced stage of gastric cancer, usually there is no chance of surgery, and patients with good physical tolerance can combine chemotherapy, and at the same time, according to the results of patients’ genetic test, they can combine targeted and immunotherapy.
3. Early gastric cancer patients are recommended to undergo surgery, which may lead to a cure. After surgery, chemotherapy or not can be chosen according to the situation.
First-line chemotherapy for gastric cancer needs to be considered according to the condition of the patient and the patient’s own situation. It is recommended to go to the hospital in time for standardized and individualized treatment under the guidance of the doctor, so as to avoid delaying the condition.