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28 Results Found

  • Article
  • Open Access
7 Citations
5,783 Views
13 Pages

Completion of FLOT Therapy, Regardless of Tumor Regression, Significantly Improves Overall Survival in Patients with Esophageal Adenocarcinoma

  • Björn-Ole Stüben,
  • Jakob Stuhlfelder,
  • Marius Kemper,
  • Michael Tachezy and ,
  • Tarik Ghadban,
  • Jakob Robert Izbicki,
  • Carsten Bokemeyer,
  • Marianne Sinn,
  • Karl-Frederick Karstens and
  • Matthias Reeh
  • + 5 authors+ 0 author

21 February 2022

Esophageal cancer is the eighth most common cancer worldwide, with poor prognosis and high mortality. The combination of surgery and systemic therapy provide the best chances for long-term survival. The purpose of this study was to analyze the impact...

(This article belongs to the Special Issue Oesophageal Adenocarcinoma)
  • Article
  • Open Access
3 Citations
2,180 Views
12 Pages

Deep Learning Histology for Prediction of Lymph Node Metastases and Tumor Regression after Neoadjuvant FLOT Therapy of Gastroesophageal Adenocarcinoma

  • Jin-On Jung,
  • Juan I. Pisula,
  • Xenia Beyerlein,
  • Leandra Lukomski and ,
  • Karl Knipper,
  • Aram P. Abu Hejleh,
  • Hans F. Fuchs,
  • Yuri Tolkach,
  • Seung-Hun Chon and
  • Thomas Schmidt
  • + 11 authors+ 6 authors

3 July 2024

Background: The aim of this study was to establish a deep learning prediction model for neoadjuvant FLOT chemotherapy response. The neural network utilized clinical data and visual information from whole-slide images (WSIs) of therapy-naïve gast...

(This article belongs to the Special Issue New Challenges for Gastric Cancer—Gut Microbiota, Post-eradication and Chemotherapy)
  • Article
  • Open Access
27 Citations
4,998 Views
13 Pages

Body Composition Changes in Gastric Cancer Patients during Preoperative FLOT Therapy: Preliminary Results of an Italian Cohort Study

  • Emanuele Rinninella,
  • Antonia Strippoli,
  • Marco Cintoni,
  • Pauline Raoul and ,
  • Raffaella Vivolo,
  • Mariantonietta Di Salvatore,
  • Enza Genco,
  • Riccardo Manfredi,
  • Emilio Bria and
  • Maria Cristina Mele
  • + 8 authors+ 3 authors

16 March 2021

Background: The impact of the new chemotherapy, fluorouracil plus leucovorin, oxaliplatin, and docetaxel (FLOT) on body composition in gastric cancer (GC) patients remains unknown. We assessed body composition changes of GC patients receiving the FLO...

(This article belongs to the Special Issue The Role of Perioperative Nutrition Support in Postoperative Recovery)
  • Article
  • Open Access
3 Citations
2,573 Views
10 Pages

Targeted Sequencing in Gastric Cancer: Association with Tumor Molecular Characteristics and FLOT Therapy Effectiveness

  • Liudmila V. Spirina,
  • Alexandra V. Avgustinovich,
  • Olga V. Bakina,
  • Sergey G. Afanas’ev and ,
  • Maxim Yu. Volkov,
  • Sergey V. Vtorushin,
  • Irina V. Kovaleva,
  • Tatyana S. Klyushina and
  • Igor O. Munkuev
  • + 4 authors+ 0 author

1 February 2024

Heterogeneity of gastric cancer (GC) is the main trigger of the disease’s relapse. The aim of this study was to investigate the connections between targeted genes, cancer clinical features, and the effectiveness of FLOT chemotherapy. Twenty-one...

(This article belongs to the Section Biochemistry, Molecular and Cellular Biology)
  • Article
  • Open Access
16 Citations
2,054 Views
12 Pages

Systemic Immune-Inflammation Index as a Prognostic Marker in Gastric and Gastroesophageal Junction Cancers Receiving Perioperative FLOT Therapy

  • Pinar Peker,
  • Asli Geçgel,
  • Oğuzcan Özkan,
  • Ivo Gökmen and ,
  • Serkan Menekse,
  • Alpay Duşgun,
  • Berna Bozkurt Duman and
  • Timuçin Çil
  • + 3 authors+ 0 author

6 September 2025

Background and Objectives: The systemic immune-inflammation index (SII), derived from peripheral blood parameters, has emerged as a novel marker reflecting the balance between host immunity and tumor-related inflammatory burden. This study aimed to i...

(This article belongs to the Section Gastroenterology & Hepatology)
  • Article
  • Open Access
1 Citations
887 Views
18 Pages

First-Line Treatment After Perioperative FLOT in Recurrent Gastric and Gastroesophageal Junction Cancer: A Turkish Oncology Group (TOG) Multicenter Real-World Analysis

  • Mustafa Seyyar,
  • Pervin Can Şancı,
  • Abdullah Sakin,
  • Ayberk Bayramgil and ,
  • Özgecan Dülgar Kaya,
  • Erdem Sünger,
  • Özgür Açıkgöz,
  • Teyfik Demir,
  • Recep Türkel and
  • Umut Kefeli
  • + 55 authors+ 50 authors

Background and Objectives: Perioperative fluorouracil, leucovorin, oxaliplatin, and docetaxel (FLOT) is the standard of care for resectable gastric and gastroesophageal junction adenocarcinoma; however, up to 50% of patients develop metastatic recurr...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
611 Views
15 Pages

Comparison of 24 Versus 46-Hour 5-FU Infusion Durations in the Perioperative FLOT Therapy for Gastric Cancer

  • Savas Gokcek,
  • Pervin Can Sancı,
  • Anıl Karakayalı,
  • Emine Bihter Eniseler and ,
  • Melis Kılınc,
  • Ozge Yetginoglu,
  • Ali Kalem,
  • Caglar Koseoglu,
  • Ferhat Ekinci and
  • Ilkay Tugba Unek
  • + 7 authors+ 2 authors

25 July 2026

Background and Objectives: This study aimed to evaluate the effects of 24 h versus 46 h continuous 5-fluorouracil (5-FU) infusion durations on pathological response, progression-free survival (PFS), and overall survival (OS) in patients with gastric...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
12 Citations
7,692 Views
12 Pages

Perioperative Chemotherapy for Gastro-Esophageal or Gastric Cancer: Anthracyclin Triplets versus FLOT

  • Julie F. M. Geerts,
  • Charlène J. van der Zijden,
  • Pieter C. van der Sluis,
  • Manon C. W. Spaander and ,
  • Grard A. P. Nieuwenhuijzen,
  • Camiel Rosman,
  • Hanneke W. M. van Laarhoven,
  • Rob H. A. Verhoeven,
  • Bas P. L. Wijnhoven and
  • Bianca Mostert
  • + 6 authors+ 1 author

26 March 2024

Background: The FLOT4-AIO trial (2019) showed improved survival with perioperative fluorouracil, leucovorin, oxaliplatin, and docetaxel (FLOT) compared to anthracyclin triplets in gastric cancer treatment. It is unclear whether these results extend t...

(This article belongs to the Section Clinical Research in Cancer)
  • Article
  • Open Access
14 Citations
3,561 Views
13 Pages

Impact of Signet-Ring Cell Histology in the Management of Patients with Non-Metastatic Gastric Cancer: Results from a Retrospective Multicenter Analysis Comparing FLOT Perioperative Chemotherapy vs. Surgery Followed by Adjuvant Chemotherapy

  • Riccardo Giampieri,
  • Maria Giuditta Baleani,
  • Alessandro Bittoni,
  • Francesca Rastelli and ,
  • Vincenzo Catalano,
  • Michela Del Prete,
  • Silvia Chiorrini,
  • Giada Pinterpe,
  • Francesco Graziano and
  • Rossana Berardi
  • + 10 authors+ 5 authors

25 June 2023

Background: FLOT perioperative chemotherapy represents the standard of care in non-metastatic gastric cancer patients. Signet-ring cell positivity is associated with a worse prognosis in patients with gastric cancer treated with chemotherapy. Compari...

(This article belongs to the Section Cancer Therapy)
  • Systematic Review
  • Open Access
3 Citations
1,189 Views
18 Pages

Prognostic Impact and Postoperative Management Following Poor Pathological Response to Perioperative FLOT in Resectable Gastric and GEJ Adenocarcinoma: A Systematic Review and Meta-Analysis

  • Ismaell Massalha,
  • Reem Zabit,
  • Samer Hussany,
  • Adham Hijab and ,
  • Wael Hozaeel,
  • Israel Sandler,
  • Jamal Zidan,
  • Ory Wiesel and
  • Ravit Geva
  • + 4 authors+ 0 author

20 March 2026

Background: Pathological tumor regression is a key prognostic marker in resectable gastric and gastroesophageal junction (GEJ) adenocarcinoma. Perioperative FLOT (fluorouracil, leucovorin, oxaliplatin, docetaxel) established the modern treatment back...

(This article belongs to the Special Issue Recent Clinical Advances in Esophageal Surgery)
  • Review
  • Open Access
2 Citations
2,519 Views
20 Pages

Clinical Trials Update in Resectable Esophageal Cancer

  • Aaron J. Dinerman and
  • Shamus R. Carr

19 January 2026

Management of resectable esophageal cancer has evolved into a multidisciplinary paradigm centered on multimodality therapy. Historically, induction chemoradiotherapy followed by surgery, as established by the CROSS trial, became the standard of care...

(This article belongs to the Special Issue Current Issues, Innovations, and Emerging Therapies in Thoracic Surgical Oncology)
  • Article
  • Open Access
2 Citations
2,094 Views
10 Pages

Induction Fluorouracil-Based Chemotherapy and PET-Adapted Consolidation Chemoradiation with Esophagectomy for High-Risk Gastroesophageal Adenocarcinoma

  • Andrew J. Sinnamon,
  • Rutika Mehta,
  • Samir Saeed,
  • Gregory Y. Lauwers and ,
  • Russell F. Palm,
  • Jessica M. Frakes,
  • Sarah E. Hoffe,
  • Jobelle J. Baldonado,
  • Jacques P. Fontaine and
  • Jose M. Pimiento
  • + 5 authors+ 0 author

1 September 2023

Background: Neoadjuvant chemoradiation with esophagectomy is standard management for locally advanced esophageal adenocarcinoma. Induction chemotherapy with a tailored approach to chemoradiation based on metabolic response to therapy on PET was explo...

(This article belongs to the Special Issue Clinical and Pathologic Response to Therapy in Gastrointestinal Oncology)
  • Review
  • Open Access
3 Citations
2,650 Views
9 Pages

21 February 2022

Adenocarcinoma of the esophagus and gastroesophageal junction is a common disease. This disease is significantly more prevalent in men, although the main underlying risk factor has an equal sex distribution. In locally advanced disease, multimodal th...

(This article belongs to the Special Issue Current and Future Treatment Strategies for Esophageal Adenocarcinoma)
  • Article
  • Open Access
1,244 Views
21 Pages

Predicting the Unpredictable: Prognostic Role of Systemic Inflammatory Indices and Tumor Biology of Neoadjuvant Chemotherapy Response in Gastric and Gastroesophageal Junction Cancer—Insights from a Systematic Review and Real-World Experience

  • Sibel Oyucu Orhan,
  • Bedrettin Orhan,
  • Yağmur Çakır,
  • Seda Sali and ,
  • Burcu Caner,
  • Birol Ocak,
  • Ahmet Bilgehan Şahin,
  • Adem Deligönül,
  • Erdem Çubukçu and
  • Türkkan Evrensel
  • + 5 authors+ 0 author

13 February 2026

Background/Objectives: Perioperative chemotherapy is the standard treatment for locally advanced gastric and gastroesophageal junction adenocarcinoma; however, substantial uncertainty remains regarding the optimal management of non-responding patient...

(This article belongs to the Special Issue Gastroesophageal Cancer: Advances in Clinical Diagnosis and Management)
  • Article
  • Open Access
11 Citations
2,984 Views
11 Pages

26 September 2023

The adverse effects of chemotherapy are more apparent in elderly patients and lead to worse prognosis and mortality. Identifying immunonutritional risk factors is of great importance in terms of treatment effectiveness, prognosis, and mortality in ge...

(This article belongs to the Special Issue Nutritional Status and Interventions for Patients with Cancer)
  • Article
  • Open Access
753 Views
11 Pages

Does the Duration of FLOT Infusion Change the Outcome of Perioperative Treatment for Gastric Cancer? Comparing 24- and 48-h Infusions

  • Hacer Demir,
  • Canan Yıldız,
  • Yusuf İlhan,
  • Murat Araz and ,
  • Ali Fuat Gürbüz,
  • Semiha Urvay,
  • Muslih Urun,
  • Berrak Mermit Ercek,
  • Onur Yazdan Balçık and
  • Ismail Beypinar
  • + 9 authors+ 4 authors

Background and Objectives: FLOT is a highly effective first-line treatment for metastatic gastric cancer and offers a favorable safety profile. Clinical studies investigating the FLOT regimen have reported varying outcomes depending on the infusion d...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
7 Citations
3,115 Views
11 Pages

LC3B, mTOR, AMPK Are Molecular Targets for Neoadjuvant Chemotherapy in Gastric Cancers

  • Liudmila V. Spirina,
  • Alexandra V. Avgustinovich,
  • Olga V. Bakina,
  • Sergey G. Afanas’ev and ,
  • Maxim Yu. Volkov and
  • Amina Y. Kebekbayeva
  • + 1 author+ 0 author

Autophagy plays a dual role in oncogenesis processes. On one hand, autophagy enhances the cell resistance to oncogenic factors, and on the other hand, it participates in the tumor progression. The aim of the study was to find the associations between...

(This article belongs to the Special Issue Molecular-Based Approaches in Therapy for Gastrointestinal Cancers)
  • Review
  • Open Access
11 Citations
4,133 Views
16 Pages

23 October 2022

Gastric adenocarcinoma and esophageal cancer are the fifth and seventh most common cancer types worldwide. At the time of initial diagnosis, up to 50% of esophagogastric cancers present with distant metastatic lesions and are candidates for chemother...

(This article belongs to the Special Issue Contemporary Perspectives and Emerging Trends in the Management of Gastric Cancer)
  • Review
  • Open Access
9 Citations
5,508 Views
20 Pages

30 March 2022

Neoadjuvant treatment strategies for resectable proximal gastric, gastroesophageal junction (GEJ), and distal esophageal cancer have evolved over several decades. Treatment recommendations differ based on histologic type—squamous cell carcinoma...

(This article belongs to the Special Issue Surgical Management of Gastric Cancer and Pancreatic Endocrine Tumors)
  • Conference Report
  • Open Access
15 Citations
7,378 Views
14 Pages

Progress has been made in the treatment of gastrointestinal cancers through advances in systemic therapies, surgical interventions, and radiation therapy. At the Multi-Disciplinary Patient Care in Gastrointestinal Oncology conference, the faculty mem...

(This article belongs to the Special Issue Cancer Biomarkers and Targets in Digestive Organs)
  • Article
  • Open Access
1 Citations
2,802 Views
22 Pages

The Role of CENPK Splice Variant in Abiraterone Response in Metastatic Castration-Resistant Prostate Cancer

  • Minhong Huang,
  • Sisi Qin,
  • Huanyao Gao,
  • Wootae Kim and ,
  • Fang Xie,
  • Ping Yin,
  • August John,
  • Richard M. Weinshilboum and
  • Liewei Wang
  • + 4 authors+ 0 author

28 September 2024

Most patients with metastatic prostate cancer eventually develop resistance to primary androgen deprivation therapy. To identify predictive biomarker for Abiraterone acetate/prednisone resistance, we screened alternative splice variants between respo...

  • Article
  • Open Access
1,300 Views
13 Pages

TCF Plus Radiochemotherapy Versus Neoadjuvant Radiochemotherapy Versus Flot Perioperative Chemotherapy in Esophageal Adenocarcinoma: The Results of a Three-Cohort, Multi-Centric Comparison: The A4 Study

  • Marco Lorenzo Bonù,
  • Giulia Volpi,
  • Gloria Zanni,
  • Jacopo Balduzzi and ,
  • Fabrizia Terraneo,
  • Giusto Pignata,
  • Giuseppina Arcangeli,
  • Francesco Frassine,
  • Paola Vitali and
  • Giovanni De Manzoni
  • + 15 authors+ 10 authors

11 September 2025

Introduction: Recent randomized evidence suggests that stage II–IV non metastatic esophageal adenocarcinoma is best managed with perioperative chemotherapy (CHT) and surgery. Intensification of neoadjuvant chemotherapy and radiochemotherapy are...

(This article belongs to the Section Cancer Biology and Oncology)
  • Article
  • Open Access
19 Citations
6,664 Views
13 Pages

Non-Metastatic Esophageal Adenocarcinoma: Circulating Tumor Cells in the Course of Multimodal Tumor Treatment

  • Jasmina Kuvendjiska,
  • Peter Bronsert,
  • Verena Martini,
  • Sven Lang and ,
  • Martha B. Pitman,
  • Jens Hoeppner and
  • Birte Kulemann
  • + 2 authors+ 0 author

21 March 2019

Background: Isolation of circulating tumor cells (CTC) holds the promise to improve response-prediction and personalization of cancer treatment. In this study, we test a filtration device for CTC isolation in patients with non-metastatic esophageal a...

(This article belongs to the Special Issue Liquid Biopsy for Cancer)
  • Article
  • Open Access
11 Citations
3,917 Views
10 Pages

PD-L1 Status in Gastric Cancers, Association with the Transcriptional, Growth Factors, AKT/mTOR Components Change, and Autophagy Initiation

  • Liudmila Spirina,
  • Alexandra Avgustinovich,
  • Sergei Afanas’ev,
  • Maxim Volkov and ,
  • Alexey Dobrodeev,
  • Olga Cheremisina and
  • Dmitry Kostromitsky
  • + 2 authors+ 0 author

16 October 2021

Introduction: The programmed death receptor ligand 1 (PD-L1) immunohistochemistry (IHC) assay is a widely used selection method for pembrolizumab treatment in gastric cancer (GC) patients. PD-L1 is the main regulator of immunity in oncogenesis. Mater...

(This article belongs to the Special Issue PD-L1, a Master Regulator of Immunity 2.0)
  • Article
  • Open Access
659 Views
20 Pages

BOLD-100 in Combination with FOLFOX Is a Broadly Effective Therapeutic Strategy for Gastric Cancer

  • Daniel Skubleny,
  • Fiza Rajput,
  • James Wickware,
  • Bhoomi Venkat and ,
  • Jennifer Spratlin,
  • Daniel E. Schiller and
  • Gina R. Rayat
  • + 2 authors+ 0 author

18 August 2026

Gastric cancer has limited therapeutic options for advanced-stage disease and remains a major contributor to global cancer mortality. BOLD-100, a ruthenium-based compound that inhibits glucose-regulated protein (GRP78), has shown potential to enhance...

(This article belongs to the Section Molecular Oncology)
  • Systematic Review
  • Open Access
9 Citations
3,264 Views
16 Pages

Fantastic Frogs and Where to Use Them: Unveiling the Hidden Cinobufagin’s Promise in Combating Lung Cancer Development and Progression Through a Systematic Review of Preclinical Evidence

  • Sandra Maria Barbalho,
  • Karina Torres Pomini,
  • Enzo Pereira de Lima,
  • Jéssica da Silva Camarinha Oliveira and ,
  • Beatriz Leme Boaro,
  • Adriano Cressoni Araújo,
  • Elen Landgraf Guiguer,
  • Rose Eli Grassi Rici,
  • Durvanei Augusto Maria and
  • Lucas Fornari Laurindo
  • + 10 authors+ 5 authors

7 November 2024

Cinobufagin (CB), a bufadienolide, has shown promising potential as an anticancer agent, particularly in combating lung cancer. This systematic review synthesizes preclinical evidence on CB’s effects against lung cancer, focusing on its mechani...

(This article belongs to the Special Issue Pre-Clinical Studies of Personalized Medicine for Cancer Research)
  • Article
  • Open Access
8 Citations
3,609 Views
17 Pages

Isolation of Plasma Extracellular Vesicles for High-Depth Analysis of Proteomic Biomarkers in Metastatic Castration-Resistant Prostate Cancer Patients

  • Ali T. Arafa,
  • Megan Ludwig,
  • Onur Tuncer,
  • Lily Kollitz and ,
  • Ava Gustafson,
  • Ella Boytim,
  • Christine Luo,
  • Barbara Sabal,
  • Daniel Steinberger and
  • Justin M. Drake
  • + 11 authors+ 6 authors

21 December 2024

Introduction: Prostate cancer treatment has been revolutionized by targeted therapies, including PARP inhibitors, checkpoint immunotherapies, and PSMA-targeted radiotherapies. Despite such advancements, accurate patient stratification remains a chall...

(This article belongs to the Special Issue New Insights into Urologic Oncology)
  • Article
  • Open Access
2 Citations
1,854 Views
10 Pages

Staging Laparoscopy in High-Risk Gastric Cancer: A Decade of Real-World Evidence and Therapeutic Impact from a Tertiary Referral Center

  • Andrea Cossu,
  • Riccardo Calef,
  • Francesco Puccetti,
  • Silvia Foti and ,
  • Stefano Cascinu,
  • Riccardo Rosati,
  • Ugo Elmore and
  • OSR CCeR Collaborative Group
  • + 3 authors+ 0 author

21 December 2025

Background and Aims: Gastric cancer (GC) remains a leading cause of cancer-related mortality, frequently diagnosed at advanced stages. High-risk features—tumor size ≥ 40 mm, cT3/cT4, nodal involvement, diffuse histology, and Borrmann type II...

(This article belongs to the Special Issue Surgical Innovations in Advanced Gastric Cancer)