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| Name | Class |
|---|---|
| Qinghai People's Hospital | OTHER |
| LanZhou University | OTHER |
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The relationship between Microsatellite instability and efficacy of fluorouracil based adjuvant chemotherapy in gastric cancer after operation.
To explore the relationship between Microsatellite instability and efficacy of fluorouracil based adjuvant chemotherapy in gastric cancer after operation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MSI-H group | We use the immunohistochemical expression of mismatch repair proteins (MutS protein homolog 2( MSH2),MutS protein homolog 6( MSH6) and PMS2(postmeiotic segregation increased 2 )) to Determine the MSI status . When one antibodies or more show negative nuclear staining of the tumor cells, the MSI state can be defined as Microsatellite instability high (MSI-H). |
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| MSI-L group | We use the immunohistochemical expression of mismatch repair proteins (MLH1, MSH2, MSH6 and PMS2) to Determine the MSI status . when all the four antibodies show positive nuclear staining of the tumor cells, the MSI state can be defined as Microsatellite stable (MSI-L). |
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| MSS group | We use the immunohistochemical expression of mismatch repair proteins (MLH1, MSH2, MSH6 and PMS2) to Determine the MSI status . when all the four antibodies show positive nuclear staining of the tumor cells, the MSI state can be defined as Microsatellite stable (MSS). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Microsatellite instability | Other | The microsatellite instability status are definite to three type:MSI-H, MSI-L,and MSS. The gastric cancer patients who received D2 resection were included in 3 groups:MSI-H group, MSI-L group,and MSS group. All patient must be accept fluorouracil(5-FU) based adjuvant chemotherapy. We will analyze the relationship between MSI status and efficacy of 5-FU based adjuvant chemotherapy by observing the survival period of patients with different MSI status. |
| Measure | Description | Time Frame |
|---|---|---|
| Disease Free Survival | The time from the primary operation to disease recurrence or death. | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival(OS) | The The time from operation to death or the last follow-up. The time from operation to death or the last follow-up. | 5 years |
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Inclusion Criteria:
Histopathology or cytopathology proven gastric cancer;
Operable advanced gastric cancer patients: primary lesions can be completely excision, no distant metastasis;
Postoperative patients who can tolerate 5-FU based (5-FU,S-1 or Capecitabine) adjuvant chemotherapy;
Life expectancy of at least 6 months;
ECOG(Eastern Cooperative Oncology Group ) score 0-1;
Age: 18~80 years old;
Normal hemodynamic indices before the recruitment (including blood cell count and liver/kidney function).
Roughly normal cardiopulmonary function: No coronary heart disease, myocardial infarction, pulmonary heart disease, refractory hypertension;
Not concomitant with other uncontrollable benign diseases before the recruitment;
9. Voluntarily signed the informed consent.
Exclusion Criteria:
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gastric cancer
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Hospital Affiliated to Lanzhou University | Lanzhou | Gansu | China | |||
| Qinghai University Affiliated Hospital |
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| Xining |
| Qinghai |
| 810000 |
| China |
| People's Hospital of Qinghai Province | Xining | Qinghai | China |
| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| D053842 | Microsatellite Instability |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
| D042822 | Genomic Instability |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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