Gastric Cancer and Oligometastatic Liverinvolvement. Metastatectomy and Impact on Survival
Offering treatment with potential to cure for participants with no such offer in today's standard treatment options, by offering metastatectomia and standard treatment with intention to cure i.e., neoadjuvant chemotherapy and gastrectomy for participants with gastric- og gastroeusofageal junction cancer. Including 20 participants from all 4 centres in Denmark able to perform the surgical procedures in question. Endpoints: 2-year overall survival.
• Age \> 18.
• Presence of primary T1-T4N0-N3M1 adenocarcinoma of the stomach or GEJ and max. 30% liver involvement.
• Primary tumour resectable, based on imaging workup.
• Surgical operable patients with ASA-score36 ≤ III and WHO performance status37 0-1.
• Patients eligible for treatment with systemic chemotherapy by FLOT regimen.
• Informed consent is obtained.