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A systemic combination therapy regimen consisting of tislelizumab, oxaliplatin, S-1, and trastuzumab. This regimen is being investigated by The First Affiliated Hospital with Nanjing Medical University as a conversion therapy for patients with gastric or esophagogastric junction cancer presenting with peritoneal metastasis. The protocol involves the use of the PD-1 inhibitor tislelizumab to stimulate the immune system, the SOX chemotherapy doublet (oxaliplatin and S-1) for cytotoxic effect, and the HER2-targeted antibody trastuzumab for patients with HER2-positive tumors. It is typically evaluated in combination with hyperthermic intraperitoneal chemotherapy (HIPEC) as part of a multimodal treatment strategy to improve R0 resection rates and overall survival in advanced gastric malignancies.
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