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食管鳞状细胞癌。

Squamous Cell Carcinoma of the Esophagus.

机构信息

Division of Gastroenterology and Hepatology, Mayo Clinic, SMH Campus, 6 Alfred GI Unit, 200 1st Street South West, Rochester MN 55905, USA.

Division of Gastroenterology and Hepatology, Mayo Clinic, SMH Campus, 6 Alfred GI Unit, 200 1st Street South West, Rochester MN 55905, USA.

出版信息

Gastroenterol Clin North Am. 2022 Sep;51(3):457-484. doi: 10.1016/j.gtc.2022.06.005. Epub 2022 Aug 29.

Abstract

Esophageal squamous cell carcinoma (ESCC) is common in the developing world with decreasing incidence in developed countries and carries significant morbidity and mortality. Major risk factors for ESCC development include significant use of alcohol and tobacco. Screening for ESCC can be recommended in high-risk populations living in highly endemic regions. The treatment of ESCC ranges from endoscopic resection therapy or surgery in localized disease to chemoradiotherapy in metastatic disease, and prognosis is directly related to the stage at diagnosis. New immunotherapies and molecular targeted therapies may improve the dismal survival outcomes in patients with metastatic ESCC.

摘要

食管鳞状细胞癌(ESCC)在发展中国家较为常见,在发达国家的发病率则呈下降趋势,该病具有较高的发病率和死亡率。ESCC 发生的主要危险因素包括大量饮酒和吸烟。可建议高发地区高危人群进行 ESCC 筛查。ESCC 的治疗方法包括局限期疾病的内镜下切除术或手术治疗,以及转移性病 灶的放化疗,预后与诊断时的分期直接相关。新型免疫疗法和分子靶向疗法可能改善转移性 ESCC 患者的悲惨生存结局。

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