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. 2019 Mar 18;39:10. doi: 10.1186/s40880-019-0349-9
Treatment method Stratification* Grade I recommendations Grade II recommendations Grade III recommendations
Postoperative adjuvant treatment pT3–4NanyM0
pTanyN + M0
R0 D2 resection
Postoperative adjuvant chemotherapy:
XELOX (Evidence 1A)
S-1 alone (Evidence 1A)
Postoperative adjuvant chemotherapy:
FOLFOX (Evidence 2A)
SOX (Evidence 2A)
Postoperative adjuvant chemotherapy:
XP (Evidence 2B)
Postoperative adjuvant chemoradiotherapy: DT 45–50.4 Gy (concurrent fluoropyrimidine) (Evidence 3)
pT2-4NanyM0, R0 resection;
Failing to meet criteria for D2
Postoperative chemoradiotherapy: DT 45–50.4 Gy (concurrent fluoropyrimidine) (Evidence 1A) MDT discussion for optimal treatment regimen
pT2-4NanyM0 R1/R2 resection Postoperative chemoradiotherapy: DT 45 to 50.4 Gy (concurrent fluoropyrimidine) MDT discussion for optimal treatment regimen

XELOX oxaliplatin (xeloda) + capecitabine, FOLFOX leucovorin calcium (folinic acid) + fluorouracil + oxaliplatin, SOX S-1 + oxaliplatin, XP capecitabine + cisplatin

* According to the 8th AJCC/UICC pathological staging system (pTNM) for gastric cancer