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食管胃交界部癌的管理:一项叙述性多学科综述

Management of Esophago-Gastric Junction Carcinoma: A Narrative Multidisciplinary Review.

作者信息

Tondolo Vincenzo, Casà Calogero, Rizzo Gianluca, Leone Mariavittoria, Quero Giuseppe, Alfieri Virginia, Boldrini Luca, Bulajic Milutin, Corsi Domenico, Micciché Francesco

机构信息

U.O.C. di Chirurgia Digestiva e del Colon-Retto, Fatebenefratelli Isola Tiberina, Gemelli Isola, 00186 Rome, Italy.

U.O.C. di Radioterapia Oncologica, Fatebenefratelli Isola Tiberina, Gemelli Isola, 00186 Rome, Italy.

出版信息

Cancers (Basel). 2023 May 3;15(9):2597. doi: 10.3390/cancers15092597.

DOI:10.3390/cancers15092597
PMID:37174063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10177387/
Abstract

Esophagogastric junction (EGJ) carcinoma represents a specific site of disease, given the opportunities for multimodal clinical care and management and the possibilities of combined treatments. It encompasses various clinical subgroups of disease that are heterogeneous and deserve different treatments; therefore, the guidelines have progressively evolved over time, considering the evidence provided by clinical trials. The aim of this narrative review was to summarize the main evidence, which orientates the current guidelines, and to collect the main ongoing studies to address existing gray areas.

摘要

鉴于存在多模式临床护理和管理的机会以及联合治疗的可能性,食管胃交界(EGJ)癌是一种特殊的疾病部位。它包括各种不同的临床疾病亚组,需要不同的治疗方法;因此,考虑到临床试验提供的证据,相关指南也在不断发展。本叙述性综述的目的是总结指导当前指南的主要证据,并收集正在进行的主要研究以解决现有模糊领域的问题。

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本文引用的文献

1
Integrative proteomic characterization of adenocarcinoma of esophagogastric junction.胃食管结合部腺癌的综合蛋白质组学特征分析。
Nat Commun. 2023 Feb 11;14(1):778. doi: 10.1038/s41467-023-36462-8.
2
Short-term outcomes of Ivor Lewis vs. McKeown esophagectomy: A meta-analysis.艾弗·刘易斯术式与麦克尤恩食管切除术的短期疗效:一项荟萃分析。
Front Surg. 2022 Oct 28;9:950108. doi: 10.3389/fsurg.2022.950108. eCollection 2022.
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Oesophageal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.食管癌:ESMO 诊断、治疗及随访临床实践指南
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Proximal Gastrectomy Versus Total Gastrectomy for Siewert II/III Adenocarcinoma of the Gastroesophageal Junction: a Systematic Review and Meta-analysis.近端胃切除术与全胃切除术治疗食管胃交界部Siewert II/III型腺癌的系统评价和Meta分析
J Gastrointest Surg. 2022 Jun;26(6):1321-1335. doi: 10.1007/s11605-022-05304-1. Epub 2022 Mar 30.
5
Analysis of metastases rates during follow-up after endoscopic resection of early "high-risk" esophageal adenocarcinoma.早期“高危”食管腺癌内镜切除后随访期间转移率的分析。
Gastrointest Endosc. 2022 Aug;96(2):237-247.e3. doi: 10.1016/j.gie.2022.03.005. Epub 2022 Mar 12.
6
Surgical and perioperative treatment strategy for resectable esophagogastric junction cancer.可切除食管胃结合部癌的外科和围手术期治疗策略。
Jpn J Clin Oncol. 2022 May 5;52(5):417-424. doi: 10.1093/jjco/hyac019.
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Endoscopy. 2022 Feb;54(2):109-117. doi: 10.1055/a-1399-4989. Epub 2021 May 4.
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