PMID- 2689236 OWN - NLM STAT- MEDLINE DCOM- 19900206 LR - 20220309 IS - 0748-7983 (Print) IS - 0748-7983 (Linking) VI - 15 IP - 6 DP - 1989 Dec TI - Adjuvant radiotherapy and chemotherapy in resectable gastric cancer. A randomized trial of the gastro-intestinal tract cancer cooperative group of the EORTC. PG - 535-43 AB - One hundred and fifteen patients with curative and palliative surgery for gastric cancer were randomized to receive radiotherapy alone (1) or in combination with short-term (ST) 5-FU (2), long-term (LT) 5-FU (3), ST and LT 5-FU (4). The ST 5-FU was given at a daily dose of 575 mg/m2, every 4-6 h during the first 4 days of treatment before starting irradiation. The LT 5-FU was given at a dosage of 750 mg/m2 every 2 weeks for 18 months or until progression. The median survival times for treatment 1 to 4 was respectively 12, 10, 15 and 18 months. There was a statistically significant overall difference between the four treatments (P = 0.041). However, when the comparisons were adjusted for the most significant prognostic factors, the difference in survival disappeared. Moreover, no difference was found between treatments in terms of time progression. Nevertheless, among 22 patients with residual tumour, the three who were still alive without disease progression (with survivals of 19+, 49+ and 90+ months at the time of this analysis) had been treated with radiotherapy combined with ST and LT 5-FU. FAU - Bleiberg, H AU - Bleiberg H AD - Institut Jules Bordet, Brussels, Belgium. FAU - Goffin, J C AU - Goffin JC FAU - Dalesio, O AU - Dalesio O FAU - Buyse, M AU - Buyse M FAU - Pector, J C AU - Pector JC FAU - Gignoux, M AU - Gignoux M FAU - Roussel, A AU - Roussel A FAU - Samana, G AU - Samana G FAU - Michel, J AU - Michel J FAU - Gerard, A AU - Gerard A AU - et al. LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - England TA - Eur J Surg Oncol JT - European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology JID - 8504356 RN - U3P01618RT (Fluorouracil) SB - IM MH - Adenocarcinoma/mortality/pathology/*therapy MH - Combined Modality Therapy MH - Drug Administration Schedule MH - Female MH - Fluorouracil/adverse effects/*therapeutic use MH - Humans MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Multicenter Studies as Topic MH - Postoperative Complications MH - Prognosis MH - Prospective Studies MH - Radiotherapy/adverse effects MH - Randomized Controlled Trials as Topic MH - Stomach Neoplasms/mortality/pathology/*therapy EDAT- 1989/12/01 00:00 MHDA- 1989/12/01 00:01 CRDT- 1989/12/01 00:00 PHST- 1989/12/01 00:00 [pubmed] PHST- 1989/12/01 00:01 [medline] PHST- 1989/12/01 00:00 [entrez] PST - ppublish SO - Eur J Surg Oncol. 1989 Dec;15(6):535-43.