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 3

Correlation between CCRT or chemotherapy and clinicopathologic features in 65 locally advanced/metastatic gastric cancer patients.

Total N = 65CCRT N = 30 (%)Chemotherapy N = 35 (%) value

Age, years
 ≧65 years33 (50.8)10 (33.3)23 (65.7)0.013
 <65 years32 (49.2)20 (66.7)12 (34.3)
Gender
 Male42 (64.6)22 (73.3)20 (57.1)0.202
 Female23 (35.4)8 (36.7)15 (42.9)
Tumor size
 <5 cm36 (55.4)13 (43.3)23 (65.7)0.085
 ≧5 cm29 (44.6)17 (56.7)12 (34.3)
Clinical T status
 T447 (72.3)21 (70.0)26 (74.3)0.784
 T318 (27.7)9 (30.0)9 (25.7)
Clinical N status
N110 (15.4)5 (16.7)5 (14.3)1.000
N2 + N355 (84.6)25 (83.3)30 (85.7)
Vascular invasion
 Positive10 (43.5)3 (33.3)7 (50.0)0.680
 Negative13 (56.5)6 (66.7)7 (50.0)
Perineural invasion
 Positive11 (47.8)4 (44.4)7 (50.0)1.000
 Negative12 (52.2)5 (55.6)7 (50.0)
Clinical TNM stage
 Stage III41 (63.1)20 (66.7)21 (60.0)0.615
 Stage IV24 (36.9)10 (33.3)14 (40.0)
Pretreatment CEA (ng/ml)
 ≧516 (24.6)4 (13.3)12 (34.3)0.082
 <549 (75.4)26 (86.7)23 (65.7)
Posttreatment CEA (ng/ml)
 ≧520 (30.8)9 (30.0)11 (31.4)1.000
 <545 (69.2)21 (70.0)24 (68.6)
Response rate
 CR + PR18 (27.7)10 (33.3)8 (22.9)0.411
 SD + PD47 (72.3)20 (66.7)27 (77.1)
Disease control rate
 CR + PR + SD48 (73.9)25 (83.3)23 (65.7)0.158
 PD17 (26.1)5 (16.7)12 (34.2)
R0/R1 resection
 Yes25 (35.5)11 (36.7)14 (40.0)0.804
 No40 (61.5)19 (63.3)21 (60.0)
Surgical outcomes (N = 25) operating time (median, minute)2182630.059
Estimated blood loss (median, ml)2023200,142

CCRT: concurrent chemoradiotherapy; CEA: carcinoembryonic antigen; CR = complete response; PR = partial response; SD = stable disease; PD = progressive disease.