医学
食管切除术
放射治疗
淋巴结
食管
疾病
食管鳞状细胞癌
癌
外科
肿瘤科
食管癌
内科学
癌症
作者
T.Y. Kam,Melpomeni Kountouri,Arnaud Roth,Jean‐Louis Frossard,Olivier Huber,Stefan P. Mönig,Thomas Zilli
标识
DOI:10.1016/j.critrevonc.2018.02.011
摘要
Radical esophagectomy with extended lymph node dissection is considered the standard of care in treatment of squamous cell carcinoma of esophagus with deep mucosal invasion (pT1a m3) or submucosal involvement (pT1b). However, despite the increasing use of minimally invasive approaches, it remains a major surgery associated with significant morbidities and even mortality risk. Endoscopic resection (ER) results in excellent local control in early superficial mucosal (pT1a) disease yet there is substantial risk of lymph node metastases in T1b disease. Therefore, ER followed by combined with chemo-radiotherapy (CRT) would potentially improve the outcome in pT1a m3 or pT1b disease and would be an attractive conservative alternative to esophagectomy. Retrospective series published so far have shown promising results for this combined treatment. Herein the current literature of the indications, treatment outcome and toxicities of this treatment strategy are discussed and critically reviewed.
科研通智能强力驱动
Strongly Powered by AbleSci AI