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Title:
Neoadjuvant versus adjuvant treatment: which one is better for resectable esophageal squamous cell carcinoma? | World Journal of Surgical Oncology
Description:
Esophageal cancer is the eighth most common cancer worldwide, and especially in some areas of China is the fourth most common cause of death and is of squamous cell carcinoma (SCC) histology in >90% of cases. Surgery alone was the mainstay of therapeutic intervention in the past, but high rates of local and systemic failure have prompted investigation into multidisciplinary management. In this review, we discuss the key issues raised by the recent availability of esophageal SCC treatment with the addition of chemotherapy, radiotherapy, and chemoradiotherapy to the surgical management of resectable disease and discuss how clinical trials and meta-analysis inform current clinical practice. None of the randomized trials that compared neoadjuvant radiotherapy or chemotherapy with surgery alone in esophageal SCC has demonstrated an increase in overall survival in those patients treated with neoadjuvant radiotherapy or chemotherapy. Neoadjuvant chemoradiotherapy has been accepted recently for esophageal cancer because such a regimen offers great opportunity for margin negative resection, improved loco-regional control and increased survival. The majority of the available evidence currently reveals that only selected locally advanced esophageal SCC are more likely to benefit from the adjuvant therapy. The focus of future trials should be on identification of the optimum regimen and should aim to minimize treatment toxicities and effect on quality of life, as well as attempt to identify and select those patients most likely to benefit from specific treatment options.
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Keywords {š}
esophageal, surgery, neoadjuvant, patients, cancer, article, pubmed, adjuvant, google, scholar, randomized, scc, carcinoma, crt, survival, trials, squamous, cell, trial, cas, chemotherapy, study, treatment, compared, radiotherapy, esophagus, benefit, therapy, oncol, preoperative, surg, clinical, metaanalysis, year, cisplatin, versus, resectable, chemoradiotherapy, phase, iii, table, significant, surgical, addition, colleagues, controlled, results, oncology, disease, demonstrated,
Topics {āļø}
current loco-regional control open access article article download pdf resectable oesophageal carcinoma improved loco-regional control squamous cell carcinoma squamous cell cancer squamous-cell cancer tumor-specific markers predictive org/professionals/physician_gls/f_guidelines large-sample randomized trials small-sample retrospective study phase iii study treatment-related mortality rates postoperative radiation therapy network meta-analysis localized squamous carcinoma phase iii trial phase iii trials significant treatment-related mortality limited sample size v325 study group privacy choices/manage cookies cell cycle synchronization recent meta-analysis demonstrated disease-free survival rate locally advanced egi pre-operative radiotherapy surgical oncology aims full access resectable esophageal carcinoma multicenter controlled trial operable esophageal carcinoma resectable esophageal cancer thoracic esophageal cancer advanced gastric cancer randomized controlled study localized esophageal cancer early esophageal cancer multiple smoking-related multicenter randomized trial neoadjuvant chemoradiation therapy medical oncology stage ii patients viable cancer cells natl cancer inst reduce cancer disparities cancer chemother pharmacol clinical complete response radiation oncology
Questions {ā}
- Neoadjuvant versus adjuvant treatment: which one is better for resectable esophageal squamous cell carcinoma?
- Neoadjuvant versus adjuvant treatment: which one is better for resectable esophageal squamous cell carcinoma?
- Siewert JR, Ott K: Are squamous and adenocarcinomas of the esophagus the same disease?
Schema {šŗļø}
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headline:Neoadjuvant versus adjuvant treatment: which one is better for resectable esophageal squamous cell carcinoma?
description:Esophageal cancer is the eighth most common cancer worldwide, and especially in some areas of China is the fourth most common cause of death and is of squamous cell carcinoma (SCC) histology in >90% of cases. Surgery alone was the mainstay of therapeutic intervention in the past, but high rates of local and systemic failure have prompted investigation into multidisciplinary management. In this review, we discuss the key issues raised by the recent availability of esophageal SCC treatment with the addition of chemotherapy, radiotherapy, and chemoradiotherapy to the surgical management of resectable disease and discuss how clinical trials and meta-analysis inform current clinical practice. None of the randomized trials that compared neoadjuvant radiotherapy or chemotherapy with surgery alone in esophageal SCC has demonstrated an increase in overall survival in those patients treated with neoadjuvant radiotherapy or chemotherapy. Neoadjuvant chemoradiotherapy has been accepted recently for esophageal cancer because such a regimen offers great opportunity for margin negative resection, improved loco-regional control and increased survival. The majority of the available evidence currently reveals that only selected locally advanced esophageal SCC are more likely to benefit from the adjuvant therapy. The focus of future trials should be on identification of the optimum regimen and should aim to minimize treatment toxicities and effect on quality of life, as well as attempt to identify and select those patients most likely to benefit from specific treatment options.
datePublished:2012-08-25T00:00:00Z
dateModified:2012-08-25T00:00:00Z
pageStart:1
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license:https://creativecommons.org/licenses/by/2.0
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keywords:
Esophageal cancer
Squamous cell carcinoma
Neoadjuvant therapy
Adjuvant therapy
Chemotherapy
Radiotherapy
Chemoradiotherapy
Surgical Oncology
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headline:Neoadjuvant versus adjuvant treatment: which one is better for resectable esophageal squamous cell carcinoma?
description:Esophageal cancer is the eighth most common cancer worldwide, and especially in some areas of China is the fourth most common cause of death and is of squamous cell carcinoma (SCC) histology in >90% of cases. Surgery alone was the mainstay of therapeutic intervention in the past, but high rates of local and systemic failure have prompted investigation into multidisciplinary management. In this review, we discuss the key issues raised by the recent availability of esophageal SCC treatment with the addition of chemotherapy, radiotherapy, and chemoradiotherapy to the surgical management of resectable disease and discuss how clinical trials and meta-analysis inform current clinical practice. None of the randomized trials that compared neoadjuvant radiotherapy or chemotherapy with surgery alone in esophageal SCC has demonstrated an increase in overall survival in those patients treated with neoadjuvant radiotherapy or chemotherapy. Neoadjuvant chemoradiotherapy has been accepted recently for esophageal cancer because such a regimen offers great opportunity for margin negative resection, improved loco-regional control and increased survival. The majority of the available evidence currently reveals that only selected locally advanced esophageal SCC are more likely to benefit from the adjuvant therapy. The focus of future trials should be on identification of the optimum regimen and should aim to minimize treatment toxicities and effect on quality of life, as well as attempt to identify and select those patients most likely to benefit from specific treatment options.
datePublished:2012-08-25T00:00:00Z
dateModified:2012-08-25T00:00:00Z
pageStart:1
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license:https://creativecommons.org/licenses/by/2.0
sameAs:https://doi.org/10.1186/1477-7819-10-173
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Esophageal cancer
Squamous cell carcinoma
Neoadjuvant therapy
Adjuvant therapy
Chemotherapy
Radiotherapy
Chemoradiotherapy
Surgical Oncology
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