Management of Locally Advanced Esophageal Cancer

被引:13
作者
Zhou, Nicolas [1 ]
Rajaram, Ravi [1 ]
Hofstetter, Wayne L. [1 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Thorac & Cardiovasc Surg, 1515 Holcombe Blvd, Houston, TX 77005 USA
关键词
Esophageal cancer; Adenocarcinoma; Squamous cell carcinoma; Chemoradiation; Salvage; MSI; PD-L1; HER2; GASTROESOPHAGEAL JUNCTION CANCER; MINIMALLY INVASIVE ESOPHAGECTOMY; LIMITED TRANSHIATAL RESECTION; ENDOSCOPIC VACUUM THERAPY; SQUAMOUS-CELL CARCINOMA; QUALITY-OF-LIFE; GENE AMPLIFICATION; PERIOPERATIVE CHEMOTHERAPY; SALVAGE ESOPHAGECTOMY; NEOADJUVANT CHEMORADIOTHERAPY;
D O I
10.1016/j.soc.2020.06.003
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Management of locally advanced esophageal cancer is evolving. Trimodality therapy with chemoradiation followed by surgical resection has become the standard of care. However, the value of planned surgery after response to therapy is in question. In this article, we discuss the current practice principles and evidence for the treatment of locally advanced esophageal cancer. Topics will include various neoadjuvant therapies, trimodality versus bimodality therapy, and outcomes for salvage esophagectomies. In addition, emerging novel therapies, such as HER2 inhibitors and immunotherapy, are available for unresectable or metastatic disease, enabling a greater armamentarium of tumor biology-specific treatments. © 2020 Elsevier Inc.
引用
收藏
页码:631 / 646
页数:16
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