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
- Core biopsy of primary tumor
- 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