Preoperative radiochemotherapy for resectable localised oesophageal cancer: A controversial strategy

Crit Rev Oncol Hematol. 2010 Sept;75(3):235-242, G. Crehange, F. Bonnetain, K. Peignaux, G. Truc, N. Blanchard, P. Rat, B. Chauffert, F. Ghiringhelli, P. Maingon

Abstract

Abstract

Preoperative chemoradiation (P-CRT) remains a controversial strategy in the treatment of squamous cell cancer (SCC) and adenocarcinoma (ADC) of the oesophagus. Until recently, randomised studies mixed the two, often without any distinction. In randomised studies involving exclusively SCC, P-CRT increases the rate of local control, R0 resection, pCR and disease-free survival. The absence of any impact on overall survival may be linked to the toxic effects of this treatment. Meta-analyses have revealed...

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