Scientific article

Endoscopic resection with adjuvant chemo-radiotherapy for superficial esophageal squamous cell carcinoma: A critical review

Published inCritical reviews in oncology/hematology, vol. 124, p. 61-65
Publication date2018-04
First online date2018-03-02

Radical esophagectomy with extended lymph node dissection is considered the standard of care in treatment of squamous cell carcinoma of esophagus with deep mucosal invasion (pT1a m3) or submucosal involvement (pT1b). However, despite the increasing use of minimally invasive approaches, it remains a major surgery associated with significant morbidities and even mortality risk. Endoscopic resection (ER) results in excellent local control in early superficial mucosal (pT1a) disease yet there is substantial risk of lymph node metastases in T1b disease. Therefore, ER followed by combined with chemo-radiotherapy (CRT) would potentially improve the outcome in pT1a m3 or pT1b disease and would be an attractive conservative alternative to esophagectomy. Retrospective series published so far have shown promising results for this combined treatment. Herein the current literature of the indications, treatment outcome and toxicities of this treatment strategy are discussed and critically reviewed.

  • Chemotherapy
  • Endoscopic dissection
  • Esophageal cancer
  • Radiotherapy
  • Submucosal
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / therapy
  • Chemoradiotherapy
  • Chemotherapy, Adjuvant
  • Combined Modality Therapy / methods
  • Endoscopic Mucosal Resection / methods
  • Esophageal Neoplasms / pathology
  • Esophageal Neoplasms / therapy
  • Esophageal Squamous Cell Carcinoma
  • Esophagectomy / methods
  • Humans
  • Neoplasm Staging
  • Radiotherapy, Adjuvant
  • Retrospective Studies
  • Treatment Outcome
Citation (ISO format)
KAM, Tsz Yeung et al. Endoscopic resection with adjuvant chemo-radiotherapy for superficial esophageal squamous cell carcinoma: A critical review. In: Critical reviews in oncology/hematology, 2018, vol. 124, p. 61–65. doi: 10.1016/j.critrevonc.2018.02.011
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Article (Published version)
ISSN of the journal1040-8428

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