Adjuvant Chemoradiotherapy or Chemotherapy After D2 Gastrectomy in Gastric Cancer: A Randomized Clinical Trial - Summary - MDSpire

Adjuvant Chemoradiotherapy or Chemotherapy After D2 Gastrectomy in Gastric Cancer: A Randomized Clinical Trial

  • By

  • Xin Wang

  • Ouying Yan

  • Jitao Zhou

  • Feng Wen

  • Yali Shen

  • Zhiping Li

  • Qiu Li

  • Wenling Wang

  • Xiaohong Cai

  • Shisheng Tan

  • Zi Wang

  • Qing Qiao

  • Dan Cao

  • Meng Qiu

  • Jiyan Liu

  • Hongfeng Gou

  • Ming Liu

  • Cheng Yi

  • Yu Yang

  • Qing Zhu

  • Deyun Luo

  • Yaqin Zhao

  • Ye Chen

  • Shang Wang

  • Qiaoli Wang

  • Ke Cheng

  • Min Ren

  • Xin Liu

  • Feng Xu

  • Feng Bi

  • June 15, 2026

  • 0 min

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Objective:

To assess whether the addition of radiotherapy (RT) to the SOX chemotherapy regimen increases disease-free survival (DFS) in patients with T4 or node-positive gastric cancer after D2 gastrectomy.

Key Findings:
  • Adjuvant chemotherapy significantly improved survival compared to surgery alone in prior studies.
  • The ARTIST trial suggested that adjuvant RT may improve DFS in lymph node-positive patients after D2 resection.
  • The ARTIST 2 trial indicated no significant difference in efficacy between chemotherapy alone and concurrent CRT after D2 gastrectomy.
Interpretation:

Remove unsupported conclusions and rephrase to reflect the ongoing investigation without editorializing.

Limitations:
  • Ensure limitations are directly sourced or attributed.
Conclusion:

Revise to eliminate unsupported claims and reflect only the findings from the study.

Original Source(s)

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