Cox Samantha J, O'Cathail Sean M, Coles Bernadette, Crosby Tom, Mukherjee Somnath
Cardiff University, Cardiff, CF10 3XQ, UK.
Department of Clinical Oncology, Velindre Cancer Centre, Cardiff, UK.
Curr Oncol Rep. 2017 Jan;19(1):7. doi: 10.1007/s11912-017-0559-8.
Survival outcomes following multimodal treatment of operable oesophageal and gastrooesophageal cancer remain disappointingly poor. Although an appreciation of the impact of both tumour location and histological subtype is now shaping the design of clinical trials, there has been a lack of consensus of the optimal neoadjuvant treatment strategy. This update article will review recent advances in the use of both neoadjuvant chemotherapy and chemoradiotherapy. The emerging role of PET imaging to direct appropriate neoadjuvant treatment regimens and the additive benefit of biological agents are also discussed.
可手术食管癌和胃食管癌多模式治疗后的生存结果仍然差强人意。尽管目前对肿瘤位置和组织学亚型影响的认识正在影响临床试验的设计,但对于最佳新辅助治疗策略仍缺乏共识。这篇更新文章将回顾新辅助化疗和放化疗使用方面的最新进展。还将讨论PET成像在指导合适的新辅助治疗方案方面的新兴作用以及生物制剂的附加益处。