Research Article

Multimodality Treatment Including Triplet Regimen as First-Line Chemotherapy May Improve Prognosis of Serum AFP-Elevated Gastric Cancer with Liver Metastasis

Table 2

Comparison of treatments and response in GCLM between the AFP ≥ 20 ng/ml group and AFP < 20 ng/ml group.

VariablesAFP ≥ 20 ng/mlAFP < 20 ng/ml

First-line chemotherapy regimens
 Platinum-based doublet regimen46 (62.2%)156 (63.7%)0.325
 Taxane-based doublet regimen13 (17.6%)44 (18.0%)
 Triplet regimen9 (12.2%)17 (6.9%)
 Single-drug regimen6 (8.1%)19 (7.8%)
 Others0 (0.0%)9 (3.7%)
Response of first-line chemotherapy
 PR28 (41.2%)106 (56.1%)0.024
 SD + PD40 (58.8%)83 (43.9%)
Subsequent therapies after the first-line chemo
 Second-line chemotherapy
  Yes24 (40.0%)97 (53.0%)0.055
  No36 (60.0%)86 (47.0%)
 Surgery treatment
  Yes1 (1.4%)8 (3.3%)0.344
  No73 (98.6%)237 (96.7%)
Local treatment of LMa
 Yes23 (31.1%)60 (24.5%)0.163
 No51 (68.9%)185 (75.5%)

aIncluding TACE, ablation, radiotherapy, and liver resection. PR = partial response; SD = stable disease; PD = progressive disease; TACE = transcatheter arterial chemoembolization.