Editorial
Volume 8 Issue 10 - 2021
Significance of Pre-Operative Peritoneal Cytology in Staging and Treatment of Gastric Cancer
Rifat Peksöz*, Esra Dişçi and Sabri Selçuk Atamanalp
Department of General Surgery, Atatürk University Research Hospital, Erzurum, Turkey
*Corresponding Author: Rifat Peksöz, Assistant Professor, Department of General Surgery, Atatürk University Research Hospital, Erzurum, Turkeys.
Received: August 30, 2021; Published: September 06, 2021




While gastric cancer is the fourth most common cancer around the world, it ranks third in cancer related deaths [1,2]. Since early-stage gastric cancers do not have a specific symptoms, when the disease is diagnosed in gastric cancer patients, the patients are either in the advanced stage or metastatic [3].

The stage of the disease is the most important factor determining the morbidity and mortality of the disease. Radiologic methods (which includes pelvic and abdominal CT), Endoscopic Ultrasound (EUS), laparoscopy, peritoneal cytology for gastric cancer staging [4]. Especially peritoneal cytology is one of the most emphasized studies recently. The peritoneum is one of the most common aera of advanced gastric cancer and the presence of peritoneal implant is predictor of bad prognosis [3,5]. Peritoneal spread found poorly differentiated histologic type in early gastric cancers. Peritoneal disease has more greater impact than clinical TNM staging on survival [5].

References

  1. Power DG., et al. “Endoscopic ultrasound can improve the selection for laparoscopy in patients with localized gastric cancer”. Journal of the American College of Surgeons 208 (2009): 173-178.
  2. Peksöz R and Borazan S. “Features of the upper gastrointestinal system malignancies in the Muş region”. Endoscopy Gastrointestinal 28 (2020): 35-38.
  3. Ferlay J., et al. “Cancer incidence and mortality worldwide: sources, methods and major patterns in Globocan 2012”. International Journal of Cancer 136 (2015): E359-386.
  4. Kang, Wen-Zhe., et al. “Survival outcomes and prognostic indicators for gastric cancer patients with positive peritoneal wash cytology but no peritoneal metastasis after radical gastrectomy”. World Journal of Gastrointestinal Oncology1 (2021): 24-23.
  5. Ghanadi Kourosh., et al. “Pre-operative laparoscopic staging of gastric cancer in patients who are candidates for neo-adjuvant chemotherapy: A Cross Sectional Study”. Biomolecular Concepts1 (2019): 68-72.
  6. Allen Casey J., et al. “Staging laparoscopy and peritoneal cytology in patients with early stage gastric adenocarcinoma”. World Journal of Surgical Oncology1 (2020).
  7. Chen WQ., et al. “Zhonghua zhong liu za zhi”. Chinese Journal of Oncology1 (2017): 60-66.
  8. Jamel Sara., et al. “Prognostic significance of peritoneal lavage cytology in staging gastric cancer: systematic review and meta-analysis.” Gastric Cancer: Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer As 21.1 (2018): 10-18.
  9. Fujiwara Yoshiyuki., et al. “Neoadjuvant intraperitoneal and systemic chemotherapy for gastric cancer patients with peritoneal dissemination”. Annals of Surgical Oncology13 (2011): 3726-3731.
  10. De Andrade James P and James J Mezhir. “The critical role of peritoneal cytology in the staging of gastric cancer: an evidence-based review”. Journal of Surgical Oncology3 (2014): 291-297.
  11. Harris Mark C., et al. “Survey and literature review on the importance of peritoneal cytology in staging and treatment of gastric cancer: always wash it before you treat it”. ANZ Journal of Surgery1-2 (2021): 13-18.
Citation: Rifat Peksöz., et al. “Significance of Pre-Operative Peritoneal Cytology in Staging and Treatment of Gastric Cancer”. EC Gastroenterology and Digestive System 8.10 (2021): 01-02.

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