Multidisciplinary Approach Emphasized for Stomach Cancer Treatment at Columbia Surgery
At Columbia Surgery, a collaborative, multidisciplinary approach is crucial for treating stomach cancer, especially when tumors are located near the gastroesophageal junction, blurring the lines between gastric and esophageal diseases. Chief of Thoracic Surgery Joshua R. Sonett, MD, endocrine surgeon Beth A. Schrope, MD, PhD, FACS, and radiation oncologist David P. Horowitz, MD, highlight the importance of accurately identifying the cancer type as the first step in determining treatment. They explain that treatment decisions are made through team conferences involving various specialists, ensuring patients receive the most appropriate care tailored to their specific tumor characteristics, depth of invasion, size, nodal status, and presence of metastases. For early-stage cancers, endoscopic therapy may offer a cure, while more advanced stages often involve neoadjuvant chemotherapy followed by surgery. There is also a growing interest in organ preservation, with chemoradiation proving effective for certain s...