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食管和食管胃交界腺癌多学科治疗的最新进展。

Recent advances in multidisciplinary therapy for adenocarcinoma of the esophagus and esophagogastric junction.

机构信息

Department of Gastrointestinal Surgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China.

出版信息

World J Gastroenterol. 2022 Aug 21;28(31):4299-4309. doi: 10.3748/wjg.v28.i31.4299.

Abstract

Esophageal adenocarcinoma (EAC) and adenocarcinoma of the esophagogastric junction (EGJA) have long been associated with poor prognosis. With changes in the spectrum of the disease caused by economic development and demographic changes, the incidence of EAC and EGJA continues to increase, making them worthy of more attention from clinicians. For a long time, surgery has been the mainstay treatment for EAC and EGJA. With advanced techniques, endoscopic therapy, radiotherapy, chemotherapy, and other treatment methods have been developed, providing additional treatment options for patients with EAC and EGJA. In recent decades, the emergence of multidisciplinary therapy (MDT) has enabled the comprehensive treatment of tumors and made the treatment more flexible and diversified, which is conducive to achieving standardized and individualized treatment of EAC and EGJA to obtain a better prognosis. This review discusses recent advances in EAC and EGJA treatment in the surgical-centered MDT mode in recent years.

摘要

食管腺癌(EAC)和食管胃交界腺癌(EGJA)长期以来与预后不良相关。随着经济发展和人口结构变化导致疾病谱的改变,EAC 和 EGJA 的发病率持续上升,值得临床医生给予更多关注。长期以来,手术一直是 EAC 和 EGJA 的主要治疗方法。随着技术的进步,内镜治疗、放疗、化疗等治疗方法不断发展,为 EAC 和 EGJA 患者提供了更多的治疗选择。近几十年来,多学科治疗(MDT)的出现使肿瘤的综合治疗成为可能,并使治疗更加灵活和多样化,有利于实现 EAC 和 EGJA 的规范化和个体化治疗,以获得更好的预后。本文讨论了近年来以手术为中心的 MDT 模式下 EAC 和 EGJA 治疗的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64d7/9453767/0979f72a537f/WJG-28-4299-g001.jpg

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