Siewert J R, Hölscher A H
Department of Surgery, Technical University of Munich, Germany.
Ann Ital Chir. 1992 Jan-Feb;63(1):13-8.
Curative surgical treatment of esophageal cancer involves the complete macroscopic and microscopic removal of the tumor (R0-resection). Only by these means the prognosis can be improved. The treatment of choice for squamous cell cancer is transthoracic en-bloc esophagectomy. Preoperative risk analysis of the patient and staging of the tumor especially by endoscopic ultrasonography are mandatory. Tumors penetrating the esophageal wall (T3, T4) above the tracheal bifurcation and T4-tumors below the bifurcation should be treated preoperatively by (radio-)chemotherapy within the framework of a multimodal therapeutic approach.
食管癌的根治性手术治疗包括在肉眼和显微镜下完全切除肿瘤（R0切除）。只有通过这些方法才能改善预后。鳞状细胞癌的首选治疗方法是经胸整块食管切除术。对患者进行术前风险分析以及对肿瘤进行分期，尤其是通过内镜超声检查进行分期是必不可少的。气管隆突上方穿透食管壁的肿瘤（T3、T4）以及隆突下方的T4肿瘤应在多模式治疗方法的框架内进行术前（放射）化疗。
