【摘要】 胃癌死亡率高居恶性肿瘤第2位，是全球常见癌症的第4位，我国亦为此病的高发国家之一。尽管如此，早期胃癌的治愈率却相当高，唯晚期或已转移者不然。但本病早期一般并无明显症状，容易延误诊治。可幸的是，随着普查的流行及更多早期胃癌的诊断，近年本病的死亡率已有下降趋势。要改善胃癌的肆虐，单靠及早诊断是不够的，如何治愈晚期或已转移癌肿已成为现今医学的研究重点。本文从中西医角度综述胃癌的病因病机、诊断和治疗方法，除论述中西医疗法、饮食治疗和新药外，还包括免疫和基因治疗，更对中医药和针灸如何配合现代医学治疗本病有较详尽的阐述。

    【关键词】 胃癌；中医药；中西医结合；免疫治疗；基因治疗

    【Abstract】 Gastric cancer is the second most frequent cause of cancer-related death and is the fourth most common malignant neoplasms in the world. Unfortunately,China is one of the highest prevalent countries. Nevertheless,the curing rate of early stage gastric cancer is actually quite high,but not for the advanced stage or metastasis ones. The disease is often diagnosed in advanced stages when treatment options are limited,leading to a poor prognosis. However,with the increase of general screening and the diagnosis of more early stage gastric cancer,mortality rates for gastric cancer have been declining worldwide in recent decades. To improve the wreak havoc of gastric cancer,just to count on early diagnosis is obviously inadequate. How to cure the advanced stage malignancy has become the medical research focus. This review summarized the etiologies,pathogenesis,diagnosis and treatments for gastric cancer from the view points of Chinese and Western medicines. Besides standard treatment and new drugs,diet therapy,immunotherapy and gene therapy were also discussed. Moreover,how to integrate Chinese medicine and acupuncture with modern medicine to treat this neoplasm was also elaborated in details. ......