NCCN Guidelines for Patients
Stomach Cancer, Version 1.2016
Doctors use the term “systemic” when talking about a
cancer treatment for the whole body. Chemotherapy
is the type of systemic treatment most often used for
Targeted therapy is a newer drug treatment for
advanced stomach cancers. Trastuzumab is one such
drug. It should be received with fist-line chemotherapy
if the cancer cells have too many HER2 receptors
except if taking an anthracycline. Epirubicin is an
lists the regimens first used to manage
advanced cancers. Your doctor will choose a regimen
based on your health and treatment side effects.
Regimens consisting of two drugs have less severe
side effects than three-drug regimens. If you are
given 5-FU, leucovorin may be added to limit side
effects of the chemotherapy. No matter what regimen
you receive, you should be assessed for side effects
on a regular basis.
lists the regimens that are given if the
cancer doesn’t respond to first-line regimens.
The regimen that is best for you depends on your
prior treatment and performance status. Preferred
regimens in Guide 12 have been shown within well-
designed clinical trials to control cancer growth better
than other treatments.