Management of Gastroesophageal Junction Tumors

被引:19
作者
Fox, Matthew P. [1 ]
van Berkel, Victor [1 ]
机构
[1] Univ Louisville, Sch Med, Dept Surg, Div Cardiothorac Surg, Louisville, KY 40202 USA
关键词
Gastroesophageal junction tumors; Esophagectomy; Lymphadenectomy; Chemoradiotherapy; POSITRON-EMISSION-TOMOGRAPHY; ADVANCED GASTRIC-CANCER; LYMPH-NODE DISSECTION; LIMITED TRANSHIATAL RESECTION; RANDOMIZED PHASE-III; ESOPHAGOGASTRIC JUNCTION; ESOPHAGEAL CANCER; DEFINITIVE CHEMORADIOTHERAPY; TRANSTHORACIC RESECTION; ENDOSCOPIC ULTRASOUND;
D O I
10.1016/j.suc.2012.07.011
中图分类号
R61 [外科手术学];
学科分类号
摘要
Tumors of the gastroesophageal junction have historically been treated as either gastric or esophageal cancer depending on institutional preferences. The Siewert classification system was designed to provide a more precise means of characterizing these tumors. In general, surgical treatment of Siewert 1 tumors is via esophagectomy. Siewert 2 and 3 tumors may be treated with either esophagectomy with proximal gastrectomy or extended total gastrectomy provided negative margins are obtained. All but the earliest stage tumors should be considered for neoadjuvant chemoradiotherapy.
引用
收藏
页码:1199 / +
页数:15
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