Table 4. Location and timing of first recurrence in 14 of 60 (23%) patients following a pathologic complete response to neoadjuvant chemotherapy±radiation therapy for gastric or gastrooesophageal junction adenocarcinoma.
Recurrence location | Time to recurrence (months) | Treatment | Status at last follow-up | Time from recurrence to death or last follow-up (months) |
---|---|---|---|---|
CNS | 15 | None | DOD | 1 |
CNSa | 5 | Whole brain RT | DOD | 17 |
CNS | 13 | Surgery | DOD | 26 |
CNS | 6 | Whole brain RT | DOD | 2 |
CNS, livera | 24 | None | DOD | 2 |
Liver | 5 | Platinum/CPT11 | DOD | 12 |
Lung | 54 | Platinum/Taxol | AWD | 38 |
Skin | 4 | FOLFIRI | DOD | 16 |
Regional LN | 19 | Platinum/Taxol | AWD | 27 |
Regional LN | 11 | Taxol | DOD | 36 |
Local | 20 | Taxol | DOD | 24 |
Local | 14 | Surgery | DOD | 1 |
Local | 6 | Taxol/CPT11 | DOD | 11 |
Local | 15 | Taxol/CPT11 | DOD | 10 |
Abbreviations: AWD=alive with disease; DOD=died of disease; CNS=central nervous system; FOLFIRI=5-FU+leucovorin+irinotecan; LN=lymph node; RT=radiation therapy.
Denotes gastric primary.