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The World Health Organization (WHO) criteria for the assessment of response to nonsurgical cancer treatment (Reporting Response in the WHO Handbook, 1979) have been proven to provide a durable international standard. These criteria alone, however, insufficiently assess the results of treatment in the setting of gastric cancer. Recognizing this problem, and adhering to the principles encompassed by the WHO criteria, the Japanese Research Society for Gastric Cancer (JRSGC), in 1985, established new assessment criteria for gastric cancer, including quantitative criteria for assessing primary tumor responses. Two aspects of these criteria deserve particular emphasis: (1) the use of X-ray and endoscopic findings for the assessment of primary gastric lesions and (2) new methodology specific to diffusely infiltrating tumors. Under this JRSGC system, primary lesions were broadly classified as: (a) measurable, (b) evaluable but not measurable, and (c) diffusely infiltrating. These criteria were revised in 1993, concurrently with the General rules for gastric cancer study. Detailed descriptions of these criteria were published in English, for an international readership, in 1995 [1]. During the 6 years since the 1993 revision, several investigators have confirmed that the overall response according to these criteria correlated with survival time. After the establishment of the Japanese Gastric Cancer Association, reorganized from the JRSGC in 1997, these Japanese response criteria were further refined [2]. These criteria,

gastric cancer

Japanese Classification of Gastric Carcinoma - 2nd English Edition - Response assessment of chemotherapy and radiotherapy for gastric carcinoma: clinical criteria