Basso V, Orry D, Fraisse J, Vincent J, Hennequin A, Bengrine L, Ghiringhelli F. Safety and efficacy of a docetaxel-5FU-oxaliplatin regimen with or without trastuzumab in neoadjuvant treatment of localized gastric or gastroesophageal junction cancer: A retrospective study. World J Gastrointest Oncol 2019; 11(8): 634-641 [PMID: 31435464 DOI: 10.4251/wjgo.v11.i8.634]
Corresponding Author of This Article
François Ghiringhelli, MD, Professor, Department of Medical Oncology, Centre George François Leclerc, 1 Rue du Professeur Marion, Dijon 21000, France. fghiringhelli@cgfl.fr
Research Domain of This Article
Oncology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Oncol. Aug 15, 2019; 11(8): 634-641 Published online Aug 15, 2019. doi: 10.4251/wjgo.v11.i8.634
Table 1 Baseline characteristics of included patients [n = 33, n (%)]
Age (yr)
63 (41–80)
Sex
Male
28 (84)
Female
5 (16)
WHO performance status
0
20 (60)
1
13 (40)
Denutrition
> 10% weight loss
10 (30)
Localization
Gastric
15 (45)
Gastro-oesophageal junction Siewert I
12 (35)
Gastro-oesophageal junction Siewert II
3 (10)
Gastro-oesophageal junction Siewert III
3 (10)
Surgery
Lewis Santy
11 (33)
Total Gastrectomy
11 (33)
Subtotal Gastrectomy
11 (33)
Clinical tumour stage
cT3/T4
7 (81)
cT1/T2
5 (18)
cTx
21 (1)
cN+
22 (77)
cN–
8 (23)
Histological type
Intestinal
28 (84)
Singet Ring cells
5 (16)
HER2 overexpressing
5 (16)
Table 2 Neoadjuvant chemotherapy adverse events
Maximal toxicity
All
Grade 3/4
All
31 (92)
10 (30)
Neutropenia
3 (10)
1(3)
Febrile neutropenia
1 (3)
1 (3)
Anaemia
2 (6)
0%
Thrombocytopenia
2 (6)
0%
Neurotoxicity
21 (63)
7 (21)
Nausea
7 (21)
0%
Asthenia
12 (36)
6 (19)
Vomiting
2 (6)
0%
Mucositis
4 (12)
2 (6)
Diarrhoea
12 (36)
3 (10)
Allergic reaction
1(3)
1 (3)
Table 3 Serious adverse events during perioperative time (n = 33)
Patients with at least one grade 3-4 adverse event during perioperative time
6 (18)
Medical complication
7 (21)
Anastomotic leak
2 (6)
Wound healing disorder
1 (3)
Pneumonia
7 (21)
Pleural complication
1 (3)
Sepsis and infection
5 (15)
Intestinal occlusion
2 (6)
Bleeding
1
Table 4 Surgical and pathological results (n = 33)
Type of surgery
Subtotal gastrectomy
11 (33)
Total gastrectomy
11 (33)
Oesophagectomy
11 (33)
Resection Grade
R0
30 (90)
R1
3 (10)
Complete (TRG 1a)†
12 (36)
Subtotal (TRG 1b)
8 (24)
Partial (TRG 2)
4 (13)
Minimal or none (TRG 3)
9 (27)
yN0
21 (63)
yN 1
6 (19)
yN2
6 (19)
Citation: Basso V, Orry D, Fraisse J, Vincent J, Hennequin A, Bengrine L, Ghiringhelli F. Safety and efficacy of a docetaxel-5FU-oxaliplatin regimen with or without trastuzumab in neoadjuvant treatment of localized gastric or gastroesophageal junction cancer: A retrospective study. World J Gastrointest Oncol 2019; 11(8): 634-641