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29 Results Found

  • Article
  • Open Access
3 Citations
3,105 Views
12 Pages

Landscape of Biomarkers and Actionable Gene Alterations in Adenocarcinoma of GEJ and Stomach—A Real World Data Analysis

  • Louisa Hempel,
  • Julia Veloso de Oliveira,
  • Andreas Gaumann,
  • Valeria Milani,
  • Katrin Schweneker,
  • Kristina Schenck,
  • Bastian Fleischmann,
  • Patrick Philipp,
  • Stefanie Mederle and
  • Dirk Hempel
  • + 12 authors

3 September 2021

After several years of negative phase III trials in gastric and esophageal cancer, a significant breakthrough in the treatment of metastatic adenocarcinomas of the gastroesophageal junction (GEJ) and stomach (GC) is now becoming evident with the emer...

  • Article
  • Open Access
1 Citations
1,709 Views
13 Pages

CT-Derived Quantitative Image Features Predict Neoadjuvant Treatment Response in Adenocarcinoma of the Gastroesophageal Junction with High Accuracy

  • Markus Graf,
  • Sebastian Ziegelmayer,
  • Stefan Reischl,
  • Yannick Teumer,
  • Florian T. Gassert,
  • Alexander W. Marka,
  • Philipp Raffler,
  • Jeannine Bachmann,
  • Marcus Makowski and
  • Rickmer Braren
  • + 3 authors

10 January 2025

Background: The purpose of this retrospective study was to evaluate the value of contrast-enhanced computed tomography (CE-CT) image features at baseline and after neoadjuvant chemotherapy in predicting histopathological response in patients with ade...

  • Review
  • Open Access
5 Citations
6,166 Views
41 Pages

Beyond the Guidelines: The Grey Zones of the Management of Gastric Cancer. Consensus Statements from the Gastric Cancer Italian Network (GAIN)

  • Lorenzo Fornaro,
  • Andrea Spallanzani,
  • Ferdinando de Vita,
  • Domenico D’Ugo,
  • Alfredo Falcone,
  • Laura Lorenzon,
  • Giuseppe Tirino,
  • Stefano Cascinu and
  • on behalf of GAIN (GAstric Cancer Italian Network)

15 March 2021

Background: Management of gastric and gastroesophageal junction (GEJ) adenocarcinoma remains challenging, because of the heterogeneity in tumor biology within the upper gastrointestinal tract. Daily clinical practice is full of grey areas regarding t...

  • Article
  • Open Access
2,568 Views
15 Pages

24 July 2025

Background: Proximal gastrectomy (PG) with double tract reconstruction (DTR) offers organ preservation for early gastric cancers, leading to reduced vitamin B12 deficiency, less weight loss, and improved quality of life. The JCOG1401 study confirmed...

  • Article
  • Open Access
29 Citations
5,600 Views
16 Pages

Ramucirumab in Combination with Pembrolizumab in Treatment-Naïve Advanced Gastric or GEJ Adenocarcinoma: Safety and Antitumor Activity from the Phase 1a/b JVDF Trial

  • Ian Chau,
  • Nicolas Penel,
  • Andres O. Soriano,
  • Hendrik-Tobias Arkenau,
  • Jennifer Cultrera,
  • Rafael Santana-Davila,
  • Emiliano Calvo,
  • Christophe Le Tourneau,
  • Lars Zender and
  • Charles S. Fuchs
  • + 7 authors

15 October 2020

Ramucirumab (anti-VEGFR2) plus pembrolizumab (anti-PD1) demonstrated promising antitumor activity and tolerability among patients with previously treated advanced cancers, supporting growing evidence that combination therapies modulating the tumor mi...

  • Article
  • Open Access
2,693 Views
13 Pages

Independent Stage Classification for Gastroesophageal Junction Adenocarcinoma

  • Yuki Hirata,
  • Yi-Ju Chiang,
  • Jeannelyn S. Estrella,
  • Prajnan Das,
  • Bruce D. Minsky,
  • Mariela Blum Murphy,
  • Jaffer A. Ajani,
  • Paul Mansfield,
  • Brian D. Badgwell and
  • Naruhiko Ikoma

25 October 2023

In gastroesophageal junction (GEJ) adenocarcinoma cases, a prognosis based on ypTNM staging could be affected by preoperative therapy. Patients with esophageal adenocarcinoma and gastric adenocarcinoma who underwent preoperative therapy followed by s...

  • Review
  • Open Access
3 Citations
4,362 Views
17 Pages

Canadian Consensus Recommendations for Predictive Biomarker Testing in Gastric and Gastroesophageal Junction Adenocarcinoma

  • Christine Brezden-Masley,
  • Pierre O. Fiset,
  • Carol C. Cheung,
  • Thomas Arnason,
  • Justin Bateman,
  • Martin Borduas,
  • Gertruda Evaristo,
  • Diana N. Ionescu,
  • Howard J. Lim and
  • Catherine J. Streutker
  • + 2 authors

4 December 2024

Gastric cancer is common globally and has a generally poor prognosis with a low 5-year survival rate. Targeted therapies and immunotherapies have improved the treatment landscape, providing more options for efficacious treatment. The use of these the...

  • Article
  • Open Access
2 Citations
2,650 Views
12 Pages

Neoadjuvant Chemoradiotherapy versus Chemotherapy for Gastroesophageal Junction Adenocarcinoma; Which Is the Optimal Treatment Option?

  • Eric Zandirad,
  • Hugo Teixeira Farinha,
  • Beatriz Barberá-Carbonell,
  • Sandrine Geinoz,
  • Nicolas Demartines,
  • Markus Schäfer and
  • Styliani Mantziari

28 November 2022

Background: Locally advanced gastroesophageal junction adenocarcinoma (GEJ) is treated with either perioperative chemotherapy (CT) or preoperative radiochemotherapy (RCT) followed by surgery. The aim of this study was to compare pathologic response a...

  • Opinion
  • Open Access
1,749 Views
12 Pages

20 November 2025

Advanced gastric/gastroesophageal junction (G/GEJ) adenocarcinoma remains a common and deadly form of cancer. Advances in G/GEJ cancer treatment have improved survival outcomes with the claudin-18.2 (CLDN18.2)-targeted agent, zolbetuximab, and immune...

  • Article
  • Open Access
4 Citations
4,224 Views
12 Pages

Real-World Efficacy and Safety of First-Line Nivolumab Plus Chemotherapy in Patients with Advanced Gastric, Gastroesophageal Junction, and Esophageal Adenocarcinoma: A Nationwide Observational Turkish Oncology Group (TOG) Study

  • Yasin Kutlu,
  • Shute Ailia Dae,
  • Feride Yilmaz,
  • Dilek Erdem,
  • Mehmet Ali Nahit Sendur,
  • Sinem Akbas,
  • Elif Senocak Tasci,
  • Onur Bas,
  • Faysal Dane and
  • Suayib Yalcin
  • + 12 authors

18 June 2024

Based on the CheckMate 649 trial, nivolumab plus chemotherapy is the recommended first-line treatment for HER2-negative unresectable advanced or metastatic gastric, gastroesophageal junction (GEJ), or esophageal adenocarcinoma. This nationwide, multi...

  • Article
  • Open Access
13 Citations
1,125 Views
9 Pages

Effect of Preoperative Chemoradiotherapy on Outcome of Patients with Locally Advanced Esophagogastric Junction Adenocarcinoma—A Pilot Study

  • M. Orditura,
  • G. Galizia,
  • N. Di Martino,
  • E. Ancona,
  • C. Castoro,
  • R. Pacelli,
  • F. Morgillo,
  • S. Rossetti,
  • V. Gambardella and
  • F. De Vita
  • + 10 authors

1 June 2014

Background: To date, few studies of preoperative chemotherapy or chemoradiotherapy (crt) in gastroesophageal junction (gej) cancer have been statistically powered; indeed, gej tumours have thus far been grouped with esophageal or gastric cancer in ph...

  • Review
  • Open Access
12 Citations
5,692 Views
18 Pages

Perioperative Tailored Treatments for Gastric Cancer: Times Are Changing

  • Daniele Lavacchi,
  • Sara Fancelli,
  • Eleonora Buttitta,
  • Gianmarco Vannini,
  • Alessia Guidolin,
  • Costanza Winchler,
  • Enrico Caliman,
  • Agnese Vannini,
  • Elisa Giommoni and
  • Lorenzo Antonuzzo
  • + 4 authors

Resectable gastric or gastroesophageal (G/GEJ) cancer is a heterogeneous disease with no defined molecularly based treatment strategy. Unfortunately, nearly half of patients experience disease recurrence despite standard treatments (neoadjuvant and/o...

  • Review
  • Open Access
1 Citations
1,527 Views
17 Pages

Evolution of Therapeutics for Locally Advanced Upper Gastrointestinal Adenocarcinoma

  • Jenny J. Li,
  • Jane E. Rogers,
  • Rebecca E. Waters,
  • Qiong Gan,
  • Mariela Blum Murphy and
  • Jaffer A. Ajani

12 April 2025

Upper gastrointestinal (GI) malignancies, including esophageal, gastroesophageal junction (GEJ), and gastric adenocarcinomas, remain a major global health concern, with poor overall survival and high recurrence rate despite aggressive treatment. Pati...

  • Article
  • Open Access
6 Citations
3,493 Views
10 Pages

Safety of FOLFIRI + Durvalumab +/− Tremelimumab in Second Line of Patients with Advanced Gastric Cancer: A Safety Run-In from the Randomized Phase II Study DURIGAST PRODIGE 59

  • Camille Evrard,
  • Thomas Aparicio,
  • Emilie Soularue,
  • Karine Le Malicot,
  • Jérôme Desramé,
  • Damien Botsen,
  • Farid El Hajbi,
  • Daniel Gonzalez,
  • Come Lepage and
  • on behalf of the DURIGAST—PRODIGE 59 Investigators/Collaborators
  • + 2 authors

Efficacy of immune checkpoint inhibitors (ICI) as monotherapy in 2nd line treatment for gastric or gastro-oesophageal junction (GEJ) adenocarcinoma is low, with no evaluation of efficacy and safety of ICI combined with chemotherapy. The DURIGAST PROD...

  • Article
  • Open Access
2 Citations
2,577 Views
14 Pages

Perioperative Cetuximab with Cisplatin and 5-Fluorouracil in Esogastric Adenocarcinoma: A Phase II Study

  • Caroline Gronnier,
  • Christophe Mariette,
  • Come Lepage,
  • Carole Monterymard,
  • Marine Jary,
  • Aurélie Ferru,
  • Mathieu Baconnier,
  • Xavier Adhoute,
  • David Tavan and
  • Guillaume Piessen
  • + 17 authors

6 April 2023

Purpose: While perioperative chemotherapy provides a survival benefit over surgery alone in gastric and gastroesophageal junction (G/GEJ) adenocarcinomas, the results need to be improved. This study aimed to evaluate the efficacy and safety of periop...

  • Review
  • Open Access
7 Citations
4,759 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...

  • Review
  • Open Access
1 Citations
1,903 Views
13 Pages

Esophageal adenocarcinoma, including adenocarcinoma of the gastroesophageal junction, is uncommon in the United States, but is associated with a rising incidence in young adults, and has a traditionally poor prognosis. Despite the incremental benefit...

  • Review
  • Open Access
1,936 Views
28 Pages

Precision Antibody Therapy in Gastric and Gastroesophageal Cancer: Targeting FGFR2b, CLDN18.2, and VEGFR2

  • Vivian Chetachi Eziefula Njoku,
  • Yein Lee,
  • Joytish Ramesh,
  • Peter Kubatka and
  • Dietrich Büsselberg

26 October 2025

Gastric and gastroesophageal junction (G/GEJ) adenocarcinomas remain among the most aggressive and lethal malignancies globally. Most patients are diagnosed at advanced stages and respond poorly to conventional chemotherapy, highlighting the urgent d...

  • Article
  • Open Access
3 Citations
907 Views
6 Pages

1 December 2012

Most patients with gastric or gastroesophageal junction (GEJ) cancer are diagnosed with inoperable advanced or metastatic disease. In these cases, chemotherapy is the only treatment demonstrating survival benefit. The present study compares clinicopa...

  • Article
  • Open Access
5 Citations
3,310 Views
15 Pages

Identification and Somatic Characterization of the Germline PTEN Promoter Variant rs34149102 in a Family with Gastrointestinal and Breast Tumors

  • Vittoria Disciglio,
  • Paola Sanese,
  • Candida Fasano,
  • Claudio Lotesoriere,
  • Anna Maria Valentini,
  • Giovanna Forte,
  • Martina Lepore Signorile,
  • Katia De Marco,
  • Valentina Grossi and
  • Cristiano Simone
  • + 2 authors

5 April 2022

Genetic variants located in non-coding regions can affect processes that regulate protein expression, functionally contributing to human disease. Germline heterozygous mutations in the non-coding region of the PTEN gene have been previously identifie...

  • Article
  • Open Access
1 Citations
2,828 Views
12 Pages

Chemotherapy Plus Atezolizumab Pre- and Post-Resection in Localized Esophageal or Gastroesophageal Junction Adenocarcinomas: A Phase I/II Single-Arm Study

  • Matheus Sewastjanow-Silva,
  • Lianchun Xiao,
  • Graciela N. Gonzalez,
  • Xuemei Wang,
  • Wayne Hofstetter,
  • Stephen Swisher,
  • Reza Mehran,
  • Boris Sepesi,
  • Manoop S. Bhutani and
  • Mariela Blum Murphy
  • + 9 authors

31 March 2024

Efforts to improve the prognosis for patients with locally advanced esophageal or gastroesophageal junction (GEJ) adenocarcinoma have focused on neoadjuvant approaches to increase the pathological complete response (pathCR) rate, improve surgical res...

  • Article
  • Open Access
1 Citations
1,368 Views
21 Pages

The Cost-Effectiveness of Sugemalimab Plus CAPOX in Treating Advanced Gastric Cancer: Analysis from the GEMSTONE-303 Trial

  • Chen-Han Chueh,
  • Wei-Ming Huang,
  • Ming-Yu Hong,
  • Yi-Wen Tsai,
  • Nai-Jung Chiang and
  • Hsiao-Ling Chen

29 September 2025

Background/Objectives: Sugemalimab demonstrated clinical efficacy in the GEMSTONE-303 trial, but its cost-effectiveness remains unclear. This study aims to evaluate the cost-effectiveness of sugemalimab in combination with chemotherapy (CAPOX) as a f...

  • Article
  • Open Access
3,038 Views
12 Pages

Preoperative Chemoradiotherapy for Gastroesophageal Junction Adenocarcinoma Modified by PET/CT: Results of Virtual Planning Study

  • Marek Slavik,
  • Petr Burkon,
  • Iveta Selingerova,
  • Pavel Krupa,
  • Tomas Kazda,
  • Jaroslava Stankova,
  • Tomas Nikl,
  • Renata Hejnova,
  • Zdenek Rehak and
  • Radka Obermannova
  • + 6 authors

6 December 2021

Background and Objectives: The treatment of gastroesophageal junction (GEJ) adenocarcinoma consists of either perioperative chemotherapy or preoperative chemoradiotherapy. Radiotherapy (RT) in the neoadjuvant setting is associated with a higher proba...

  • Article
  • Open Access
1 Citations
4,810 Views
16 Pages

Evaluating Alternative Ramucirumab Doses as a Single Agent or with Paclitaxel in Second-Line Treatment of Locally Advanced or Metastatic Gastric/Gastroesophageal Junction Adenocarcinoma: Results from Two Randomized, Open-Label, Phase II Studies

  • Manish A. Shah,
  • Anghel Adrian Udrea,
  • Igor Bondarenko,
  • Was Mansoor,
  • Raquel Guardeño Sánchez,
  • Tomasz Sarosiek,
  • Silvia Bozzarelli,
  • Michael Schenker,
  • Carlos Gomez-Martin and
  • Jaffer A. Ajani
  • + 20 authors

24 February 2022

Studies JVDB and JVCZ examined alternative ramucirumab dosing regimens as monotherapy or combined with paclitaxel, respectively, in patients with advanced/metastatic gastric/gastroesophageal junction (GEJ) adenocarcinoma. For JVDB, randomized patient...

  • Article
  • Open Access
8 Citations
989 Views
9 Pages

1 October 2017

Background: The efficacy of carboplatin–paclitaxel in the trimodality setting was demonstrated in the cross trial. Because of better tolerance, that regimen has been adopted as an alternative for patients receiving definitive chemoradiation (dCRT). T...

  • Article
  • Open Access
2 Citations
2,255 Views
12 Pages

Does Pathological Stage and Nodal Involvement Influence Long Term Oncological Outcomes after CROSS Regimen for Adenocarcinoma of the Esophagogastric Junction? A Multicenter Retrospective Analysis

  • Stefano de Pascale,
  • Paolo Parise,
  • Michele Valmasoni,
  • Jacopo Weindelmayer,
  • Fabrizia Terraneo,
  • Chiara Alessandra Cella,
  • Simone Giacopuzzi,
  • Andrea Cossu,
  • Simonetta Massaron and
  • on behalf of the Italian Society for the Study of Esophageal Diseases (SISME)
  • + 3 authors

7 February 2021

Background:After the results reported by the “Chemoradiotherapy for esophageal Cancer Followed by Surgery Study” (CROSS) trial, neo-adjuvant chemoradiotherapy became the standard treatment for locally advanced cancers of esophagus and gastroesophagea...

  • Case Report
  • Open Access
2 Citations
2,774 Views
9 Pages

Detection of a Novel MSI2-C17orf64 Transcript in a Patient with Aggressive Adenocarcinoma of the Gastroesophageal Junction: A Case Report

  • Anna Ferrari,
  • Roberto Fiocca,
  • Elena Bonora,
  • Chiara Domizio,
  • Eugenio Fonzi,
  • Davide Angeli,
  • Gian Domenico Raulli,
  • Sandro Mattioli,
  • Giovanni Martinelli and
  • Chiara Molinari

15 April 2023

Adenocarcinoma of the esophagus (EAC) and gastroesophageal junction (GEJ-AC) is associated with poor prognosis, treatment resistance and limited systemic therapeutic options. To deeply understand the genomic landscape of this cancer type, and potenti...

  • Article
  • Open Access
777 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,
  • Fabrizia Terraneo,
  • Giusto Pignata,
  • Giuseppina Arcangeli,
  • Francesco Frassine,
  • Paola Vitali and
  • Giovanni De Manzoni
  • + 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...

  • Article
  • Open Access
6 Citations
4,053 Views
14 Pages

Anti PD-1/Anti PDL-1 Inhibitors in Advanced Gastroesophageal Cancers: A Systematic Review and Meta-Analysis of Phase 2/3 Randomized Controlled Trials

  • Kanak Parmar,
  • Sai Subramanyam,
  • Kristopher Attwood,
  • Duke Appiah,
  • Christos Fountzilas and
  • Sarbajit Mukherjee

Importance: Immune checkpoint inhibitors (ICI) have revolutionized the treatment for gastroesophageal cancers (GEC). It is important to investigate the factors that influence the response to anti-PD-1/PD-L1 ICIs. Objective: To assess the benefits of...