Approach to Unresectable Stage 4 Gastric Adenocarcinoma - Episode 6
Daniel Catenacci, MD:Multidisciplinary approach to gastric cancers is critical. When we have a patient who’s newly diagnosed and being staged, it is important to have multidisciplinary tumor board conferences to review imaging, to review pathology, and to review other diagnostic approaches that might be required; for example, a diagnostic laparoscopy.
We also include others, in terms of radiation oncology, for palliative approaches for gastric cancer, and also our palliative care service team to help with the various symptoms that occur with gastric cancer and pain control, for example, and otherstying in all of the care together from a global approach.
Supportive care for these patients is critical. We often focus on the treatment and the next steps, but also discussions, in terms of overall goals of care, both with the oncology team. The importance of working in a multidisciplinary fashion with palliative care to assess their needs in a less rushed manner is very critical and also part of the team where we practice. Also, of interest might be, a psycho-oncology consultation for patients, particularly younger patients, is helpful and also part of the plan and program.
Transcript edited for clarity.
A 61-Year-Old Woman With Stage 4 Gastric Cancer