Info

🌱 來自:ESMO Checklist

ESMO Checklist_Gastric Cancer

  • DATE OF REFERRAL/1ST CONSULTATION
  • MEDICAL HISTORY AND RISK FACTORS
    • Past personal medical history and co-morbidities
    • Past surgical history
    • Concurrent medication
    • Allergies
    • Smoking history
  • Alcohol consumption
    • Normal Weight
    • Height
    • BMI
  • PRESENT MEDICAL CONDITIONS
    • Main Symptoms
    • Weight Loss
    • ECOG Performance Status
    • Nutritional Status
    • Other relevant clinical conditions
  • DIAGNOSIS AND CLINICAL STAGING
    • Endoscopy
    • EUS
    • Thoraco-abdomino (+/- pelvic) CT scan
    • PET-CT scan
    • Laparoscopy + washings
    • TNM stage and grade
  • HISTOLOGICAL ANALYSIS
    • Core biopsy of primary tumor
      • Adenocarcinoma
      • PD-L1 CPS status (IHC)
      • HER 2 (IHC and/or FISH)
      • MSI or dMMR status
      • Other predictive biomarkers (FGFR2; MET; Claudin-18.2; EBV)
    • Tissue material available/stored for future molecular analyses
  • LAB TESTS
    • FBC
    • Liver Function
    • Renal Function
    • Iron Status
    • Timeline for further work-up has been checked and it is tight enough
  • MDT discussion and decision
    • Neo-adjuvant therapy
    • Resection (endoscopic or surgical)
    • Adjuvant therapy
    • Supportive and palliative care
    • Enrolment in a clinical trial
  • Treatment options have been discussed with the patient and strategy accepted