Definitive Chemoradiation for Resectable Esophageal Cancer
نویسنده
چکیده
The salvage operation for esophageal cancer is one of the most interesting topics today among Japanese doctors treating this form of malignant tumor. This topic has been selected as the focus of symposia and panel discussions at many annual meetings of surgical-, esophageal-, or digestive-disease–related societies in Japan. In parallel, definitive chemoradiation therapy has recently shown progress as a treatment modality for resectable esophageal cancer. Many patients have chosen to undergo definitive chemoradiation therapy to preserve the upper digestive tract. However, definitive chemoradiation is not yet recognized as a standard therapy for resectable esophageal cancer, since no study has demonstrated better results than surgery. Late adverse events after definitive chemoradiation have been reported, and in failure cases of definitive chemoradiation, additional treatments, including salvage surgery, are often difficult. Nevertheless, salvage treatment is needed to improve the overall treatment results in chemoradiation therapy. The benefits and risks of salvage surgery are now a major theme of discussion.
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