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Distant nodal metastasis: is it always an unresectable disease?

  
@article{TGH3666,
	author = {Gian Luca Baiocchi and Andrea Celotti and Sarah Molfino and Paolo Baggi and Antonio Tarasconi and Gianluca Baronio and Luca Arru and Federico Gheza and Guido Tiberio and Nazario Portolani},
	title = {Distant nodal metastasis: is it always an unresectable disease?},
	journal = {Translational Gastroenterology and Hepatology},
	volume = {2},
	number = {1},
	year = {2017},
	keywords = {},
	abstract = {This article aims at analyzing the published literature concerning the treatment of patients with gastric cancer and distant nodal metastases, actually considered metastatic disease. A systematic search was undertaken using Medline, Embase, Cochrane and Web-of-Science libraries. No specific restriction on year of publication was used; preference was given to English papers. Both clinical series and literature reviews were selected. Only 11 papers address the issue of surgery for nodal basins outside the D2 dissection area. From these papers, in selected cases extended surgery may prove useful in prolonging survival, when a comprehensive therapeutic pathway including chemotherapy is scheduled. In conclusion, in presence of nodal metastases outside the loco-regional nodes, surgery may be considered for metastatic nodes in stations 13 and 16, in selected cases.},
	issn = {2415-1289},	url = {https://tgh.amegroups.org/article/view/3666}
}