Fink U, Pfeiffer G, Gossmann A, Preusser P, Wilke H J, Siewert J R
Chirurgische Klinik und Poliklinik, TUM Klinikum rechts der Isar, München.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:107-10.
In the majority of patients with esophageal cancer local tumor infiltration and/or distant metastases are responsible for the poor prognosis. Therefore to improve life expectancy additional modalities--chemotherapy alone or in combination with simultaneous radiation--have been introduced perioperatively. In spite of a possible increase of resectability convincing data are lacking which could argue for an uncontrolled introduction of the neoadjuvant approach outside investigational studies in early tumor stages (T1, T2).
在大多数食管癌患者中,局部肿瘤浸润和/或远处转移是预后不良的原因。因此,为了提高预期寿命,围手术期引入了其他治疗方式——单独化疗或联合同步放疗。尽管可能提高了可切除性,但缺乏令人信服的数据来支持在早期肿瘤阶段(T1、T2)的非研究性新辅助治疗方法的无控制引入。