Stoller J L, Brumwell M L
Can J Surg. 1984 Sep;27(5):491-5.
Because of the negligible cure rate in cancer of the esophagus, treatment is aimed principally at providing good palliation. This paper compares the degrees of palliation achieved after the two main treatments for symptomatic carcinoma of the esophagus. The degree of palliation was measured by a grading system designed to assess only the subjective responses of each patient. The results show that palliation as defined and measured in this study is the same after radiotherapy as after surgical excision. Since the expected survival is the same after radiotherapy as after operation, the expected morbidity and mortality of radiation are lower and radiotherapy may be used where operation is not possible, the authors suggest that radiotherapy is the better primary treatment for symptomatic squamous cancer of the esophagus.
由于食管癌的治愈率极低，治疗主要旨在实现良好的姑息效果。本文比较了食管癌有症状的癌灶的两种主要治疗方法之后所实现的姑息程度。姑息程度通过一个分级系统来衡量，该系统旨在仅评估每位患者的主观反应。结果表明，本研究中所定义和衡量的姑息效果在放疗后与手术切除后相同。由于放疗后的预期生存期与手术后相同，且放疗的预期发病率和死亡率较低，在无法进行手术的情况下可采用放疗，作者建议放疗是有症状的食管鳞状癌更好的主要治疗方法。
