Research Article

Observational Study Comparing Efficacy and Safety between Neoadjuvant Concurrent Chemoradiotherapy and Chemotherapy for Patients with Unresectable Locally Advanced or Metastatic Gastric Cancer

Table 1

Baseline characteristics of 65 locally advanced/metastatic gastric cancer patients.

N = 65 (%)

Age, years
Mean (range)65.4 (31–85)
 ≧65 years33 (50.8)
 <65 years32 (49.2)
Gender
 Male42 (64.6)
 Female23 (35.4)
Tumor size
 <5 cm36 (55.4)
 ≧5 cm29 (44.6)
Clinical T status
 T447 (72.3)
 T318 (27.7)
Clinical N status
N110 (15.4)
N2 + N355 (84.6)
Vascular invasion
 Positive10 (15.4)
 Negative13 (20.0)
 ND42 (64.6)
Perineural invasion
 Positive11 (16.9)
 Negative12 (18.5)
 ND42 (64.6)
Clinical TNM stage
 Stage III41 (63.1)
 Stage IV24 (36.9)
Tumor location
 Cardiac18 (27.7)
 Body18 (27.7)
 Antrum31 (47.7)
 Diffuse (borrmann IV)18 (27.7)
 Stump3 (4.6)
Histology
Well-differentiated0
 Moderately differentiated15 (23.1)
Poorly differentiated50 (76.9)
Metastasis site
 Peritoneum carcinomatosis8 (12.3)
 Liver7 (10.8)
 Lung6 (9.2)
 Bone2 (3.1)
 Ovary3 (4.6)
 Bladder1 (1.5)
Pretreatment CEA (ng/ml)
 ≧516 (24.6)
 <549 (75.4)
Posttreatment CEA (ng/ml)
 ≧520 (30.8)
 <545 (69.2)
TNM downstaging
 Yes18 (27.7)
 No47 (72.3)
T downstaging
 Yes17 (26.2)
 No48 (73.8)
N downstaging
 Yes16 (24.6)
 No49 (75.4)
R0/R1 resection
 Yes25 (38.5)
 No40 (61.5)
CCRT or chemotherapy
 CCRT30 (46.2)
 Chemotherapy35 (53.8)

ND=Not done (38 patients: unresectable tumor; 2 patients: complete response after neoadjuvant chemoradiotherapy); CEA: carcinoembryonic antigen; CCRT = concurrent chemoradiotherapy.