Abstract:

Difficulties and countermeasures of the diagnosis and treatment for gastric cancer patients with metastasis and recurrence        ZHU Zheng-gang. Department of Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine; Shanghai Institute of Digestive Surgery, Shanghai 200025, China
Abstract    More active strategies of prevention and treatment are the keys to improving the prognosis for gastric cancer patients with metastasis or recurrence. Based on a lot of clinical experience, surgeons should focus on full understanding of the bio-pathological behavior of tumor metastasis and recurrence and actively promoting the molecular pathological classification in the clinical diagnosis. Surgeons should pay more attention to preventive treatment for tumor metastasis and recurrence, especially to the perioperative comprehensive treatment. The normative and radical principle for the first radical surgery should be emphasized to eliminate iatrogenic tumor recurrence as far as possible. Keeping comprehensive therapeutic strategies for patients with tumor metastasis and recurrence aimed at striving for the ideal outcome.

Key words: gastric cancer, recurrence, metastasis

摘要：

积极预防与治疗胃癌复发、转移是提高胃癌整体疗效的关键。外科医生应充分了解肿瘤复发、转移的病理生物学特征，并积极推广分子病理分型工作；应更加重视对肿瘤复发、转移的预防性治疗，采取积极的围手术期综合治疗；强调首次手术的规范性与根治性，减少并杜绝医源性肿瘤复发；对复发、转移病人坚持积极的综合治疗，以争取理想的疗效。

关键词: 胃癌, 复发, 转移