Thompson W M
Int J Radiat Oncol Biol Phys. 1983 Oct;9(10):1533-65. doi: 10.1016/0360-3016(83)90329-2.
The important concepts of carcinoma of the esophagus are reviewed in this article. Pathology of malignant esophageal tumors is described and tumor behavior of squamous cell carcinoma is discussed and illustrated. Various classifications and staging methods are reviewed with emphasis placed on the TNM system. The role of current imaging techniques in patients with esophageal carcinoma is presented. Computed tomography is discussed and illustrated in detail. The relative cost effectiveness of these procedures is presented and an imaging approach emphasizing TNM staging is described for patients with known carcinoma of the esophagus. This imaging approach is integrated with the basic aspects of treatment and both curative and palliative pathways are presented. The final section of the article deals with these same concepts in patients with carcinoma of the gastroesophageal junction. The important differences between adenocarcinoma of the gastroesophageal junction and esophageal carcinoma are described.
本文回顾了食管癌的重要概念。描述了恶性食管肿瘤的病理学，并对鳞状细胞癌的肿瘤行为进行了讨论和说明。回顾了各种分类和分期方法，重点介绍了TNM系统。介绍了当前成像技术在食管癌患者中的作用。详细讨论并说明了计算机断层扫描。介绍了这些检查方法的相对成本效益，并为已知食管癌患者描述了一种强调TNM分期的成像方法。这种成像方法与治疗的基本方面相结合，同时介绍了根治性和姑息性治疗途径。文章的最后一部分讨论了胃食管交界癌患者的相同概念。描述了胃食管交界腺癌与食管癌之间的重要差异。
