Chemoradiotherapy in tumours of the oesophagus and gastro-oesophageal junction

被引:10
作者
Hulshof, M. C. C. M. [1 ]
van Laarhoven, H. W. M. [2 ]
机构
[1] Acad Med Ctr, Dept Radiotherapy, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands
[2] Acad Med Ctr, Dept Med Oncol, Amsterdam, Netherlands
关键词
Chemoradiotherapy; Oesophageal cancer; Gastro-oesophageal junction tumours; Chemotherapy; Radiotherapy; PHASE-III TRIAL; QUALITY-OF-LIFE; NEOADJUVANT CHEMORADIOTHERAPY; RESECTABLE ESOPHAGEAL; PREOPERATIVE CHEMORADIOTHERAPY; DEFINITIVE CHEMORADIOTHERAPY; PERIOPERATIVE CHEMOTHERAPY; RADIATION-THERAPY; SURVIVAL OUTCOMES; RANDOMIZED-TRIAL;
D O I
10.1016/j.bpg.2016.06.002
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Oesophageal cancer remains a malignancy with a poor prognosis. However, in the recent 10-15 years relevant progress has been made by the introduction of chemoradiotherapy (CRT) for tumours of the oesophagus or gastro-oesophageal junction. The addition of neo-adjuvant CRT to surgery has significantly improved survival and locoregional control, for both adenocarcinoma and squamous cell carcinoma. For irresectable or medically inoperable patients, definitive CRT has changed the treatment intent from palliative to curative. Definitive CRT is a good alternative for radical surgery in responding patients with squamous cell carcinoma and those running a high risk of surgical morbidity and mortality. For patients with an out-of-field solitary locoregional recurrence after primary curative treatment, definitive CRT can lead to long term survival. (C) 2016 Published by Elsevier ltd.
引用
收藏
页码:551 / 563
页数:13
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