Gastric CA

1. Staging
- Abdominal CT with contrast
- CT/US pelvis (females)
- chest imaging
- OGD
- PET CT (optional)
- EUS (optional)
- H.pylori test

2. JH guidelines
a. primary chemoRT with weekly 5FU or ECF or XELOX
b. Metastatic
- first line: XELOX/5FU/CF
- second line: single agent TS-1 (for metastatic gastric CA)
- third line:

3. Net
a. Preoperative chemotherapy: ECF (epirubicin, cisplatin and 5FU) or modifications
b. Preoperative chemoradiation: paclitaxel or docetaxel plus 5FU/Xeloda
c. Postoperative chemoradiation: 5FU or Xeloda
d. Mets or locally advanced: DCF or modifications, ECF or modifications, Irinotectan plus cisplatin, oxaliplatin plus 5FU/Xeloda, paclitaxel based regimen