Gastric Cancer Peritoneal Metastasis Research Suggests Shift Towards Precision and Personalized Treatment

Recent research on gastric cancer peritoneal metastasis (GCPM) has identified significant trends and hotspots in the field, highlighting the need for precision and personalized treatment. GCPM is a challenging and difficult-to-treat condition, with a low 5-year survival rate. The study analyzed 2416 publications on GCPM from 2004 to 2024, revealing a positive growth rate until 2021, with a slowdown expected in the near future.

Key Takeaways:

  • Japan dominated the research output on GCPM, with 842 publications, followed by China (748 publications) and the United States (268 publications).
  • Japanese-affiliated organizations and researchers are extremely productive in the field of GCPM, accounting for 35% of all publications.
  • The most frequently cited document was the Japanese gastric cancer treatment guidelines 2014 (ver. 4) with 2076 citations.
  • Research focuses on four major clusters: molecular mechanisms of GCPM, prognosis of GCPM, chemotherapy of GCPM, and intraperitoneal treatment of GCPM.
  • Emerging trends include key pathways of GCPM, artificial intelligence (AI) and multi-omics-driven early diagnosis, novel intraperitoneal therapeutic modalities, and immunologic/targeted drugs.
  • The study concludes that there is a need to promote global collaborative trials and optimization of multimodality therapy to address the lack of standardized validation systems for emerging technologies and regional differences in clinical practice.

Statistics:

  • 2416 publications on GCPM were analyzed from 2004 to 2024.
  • Japan produced 842 publications on GCPM, accounting for 35% of all publications.
  • China produced 748 publications on GCPM, accounting for 31% of all publications.
  • The United States produced 268 publications on GCPM, accounting for 11% of all publications.
  • The most frequently cited document was the Japanese gastric cancer treatment guidelines 2014 (ver. 4) with 2076 citations.
  • Research hotspots included molecular mechanisms of GCPM, prognosis of GCPM, chemotherapy of GCPM, and intraperitoneal treatment of GCPM.

Sources:

  • Two decades of progress in gastric cancer peritoneal metastasis: a bibliometric perspective on molecular mechanisms and therapeutic innovations. Frontiers in Oncology, 2025;15:1583364.
  • Zhejiang Hospital, Department of Oncology, Hangzhou, People's Republic of China.
  • Xiaoxuan Tu, Jin Qian, Jianglin Chen, Sisi Chen, Yi Zhou, Chuan Sun, and Zhibing Wu.