Surgery: Esophageal Reconstruction

Jun 4, 2017 by in ONCOLOGY Comments Off on Surgery: Esophageal Reconstruction

Location of tumor Total % Cervical 198 4.2 Upper thoracic 631 13.4 Middle thoracic 2,290 48.7 Lower thoracic 1,224 26.0 Abdominal 247 5.3 EG 31 0.7 EG junction (E = G) 26…

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Epidemiology of ESCC

Jun 4, 2017 by in ONCOLOGY Comments Off on Epidemiology of ESCC

Fig. 1.1 Age-standardized incidence rate (World) of esophageal cancer in the world (2008) Esophageal cancer is two to four times more common among men than women in general; however it…

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Radiation Therapy

Jun 4, 2017 by in ONCOLOGY Comments Off on Radiation Therapy

Fig. 13.1 Example 3D treatment planning for a cT1bN0 middle thoracic esophagus tumor. (a) Endoscopic insertion of clips in the esophageal wall near the proximal and distal end of the…

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Endoscopic Treatment: EMR and ESD

Jun 4, 2017 by in ONCOLOGY Comments Off on Endoscopic Treatment: EMR and ESD

Fig. 14.1 Variety of EMRs. (a) EMR with a ligation device (EMR-L). A lesion is suctioned and ligated with O-ring before resection. (b) EMR using a cap-fitted endoscope (EMR-C). A…

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Surgery Transthoracic Esophagectomy

Jun 4, 2017 by in ONCOLOGY Comments Off on Surgery Transthoracic Esophagectomy

Fig. 8.1 The status of lymph node metastases according to the location of the primary tumor as reported by Ando et al. [7] The concept of extensive three-field lymph node…

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Neoadjuvant and Adjuvant Therapy

Jun 4, 2017 by in ONCOLOGY Comments Off on Neoadjuvant and Adjuvant Therapy

Fig. 11.1 Preoperative vs. postoperative radiotherapy. Survival rate in the postoperative radiotherapy-alone group (B) was significantly better than that in the pre- plus postoperative radiotherapy group (A) 11.2.1.2 Postoperative Chemotherapy…

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Hong Kong Experience

Jun 4, 2017 by in ONCOLOGY Comments Off on Hong Kong Experience

Fig. 15.1 Investigation algorithm for esophageal cancer at The University of Hong Kong 15.2.1 Staging Clinical staging follows the American Joint Committee on Cancer Staging (AJCC) TNM classification system. In…

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Squamous Cell Carcinoma of the Oesophagus: The Indian Experience

Jun 4, 2017 by in ONCOLOGY Comments Off on Squamous Cell Carcinoma of the Oesophagus: The Indian Experience

Modality Clinical utility Overall accuracy (%) Computed tomography (chest, abdomen) Invasion of local structures (airways, aorta) ≥90 Metastatic disease ≥90 Endoscopy Local tumour (T) staging (operator dependent) 80–90 Endoscopic Ultrasonography…

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Surgery: Minimally Invasive Esophagectomy

Jun 4, 2017 by in ONCOLOGY Comments Off on Surgery: Minimally Invasive Esophagectomy

Fig. 9.1 Placement of thoracic ports. Five ports with a small thoracotomy (4–5 cm) were introduced onto the thoracic wall. ICS intercostal space, A anterior axillary line, M middle axillary line,…

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Chemotherapy and Chemoradiotherapy

Jun 4, 2017 by in ONCOLOGY Comments Off on Chemotherapy and Chemoradiotherapy

Agent Histology and number of pts Treatment line Regimen Response (%) PFS (m) MST (m) References Bleomycin SCC 29 First NA 14 NA NA [2] Bleomycin SCC + AC 20 First NA…

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