In Japan, gastric cancer is the second leading cause of cancer-related mortality after lung cancer. Many randomized trials of various chemotherapeutic regimens have been conducted, contributing to improved outcomes in patients with advanced gastric cancer (AGC). The standard regimen for AGC is a combination of S-1 and cisplatin in Japan. Recently, new drug development has focused on molecular target agents, and personalized therapy for AGC has just begun. In patients with human epidermal growth factor receptor 2-positive AGC, trastuzumab in combination with chemotherapy improves survival. Furthermore, abundant information about the heterogeneity and biological backgrounds of AGC patients has been compiled. New strategies for the development of personalized therapy should be studied in the future. Copyright (C) 2011 S. Karger AG, Basel
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IMS Tokyo Katsushika Gen Hosp, Dept Surg, Tokyo, JapanShizuoka Canc Ctr, Div Gastr Surg, 1007 Shimonagakubo, Nagaizumi, Shizuoka 4118777, Japan
Iwasaki, Yoshiaki
Fukagawa, Takeo
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Natl Canc Ctr, Dept Gastr Surg, Tokyo, JapanShizuoka Canc Ctr, Div Gastr Surg, 1007 Shimonagakubo, Nagaizumi, Shizuoka 4118777, Japan
Fukagawa, Takeo
Tokunaga, Masanori
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Tokyo Med & Dent Univ, Dept Gastrointestinal Surg, Tokyo, JapanShizuoka Canc Ctr, Div Gastr Surg, 1007 Shimonagakubo, Nagaizumi, Shizuoka 4118777, Japan
Tokunaga, Masanori
Sano, Takeshi
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Japanese Fdn Canc Res, Canc Inst Hosp, Dept Gastroenterol Surg, Tokyo, JapanShizuoka Canc Ctr, Div Gastr Surg, 1007 Shimonagakubo, Nagaizumi, Shizuoka 4118777, Japan
Sano, Takeshi
Sasako, Mitsuru
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Yodogawa Christians Hosp, Dept Surg, Osaka, JapanShizuoka Canc Ctr, Div Gastr Surg, 1007 Shimonagakubo, Nagaizumi, Shizuoka 4118777, Japan