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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Suzuki, Gen Yamazaki, Hideya Aibe, Norihiro Masui, Koji Kimoto, Takuya Nagasawa, Shinsuke Watanabe, Shou Seri, Shou Asato, Akito Shiozaki, Atsushi Fujiwara, Hitoshi Konishi, Hirotaka Dohi, Osamu Ishikawa, Takeshi Elsaleh, Hany Yamada, Kei |
| Abstract | Background Esophagectomy is the standard adjuvant treatment for superficial esophageal squamous cell carcinoma (SESCC) following noncurative endoscopic submucosal dissection (ESD). However, recent reports have also shown that ESD with adjuvant chemoradiotherapy (CRT) has promising results. This retrospective study aimed to elucidate the efficacy of CRT compared to surgery in patients with SESCC after noncurative ESD. Methods This study retrospectively compared the long-term outcomes of patients who received adjuvant treatment with surgery or CRT after noncurative ESD for SESCC. Results Data were collected from 60 patients who developed SESCC after noncurative ESD, 34 of whom received adjuvant chemoradiotherapy (CRT) and 26 underwent esophagectomy. The median follow-up periods were 46 and 56 months in the CRT and esophagectomy groups, respectively. The median patient age was significantly higher in the CRT group than in the esophagectomy group (69 vs. 65 years, p = 0.0054). CRT was completed in all patients, and the incidence of grade ≥ 3 nonhematologic adverse events was 6%. The overall and disease-free survival did not significantly differ between the two groups. Conclusions CRT following ESD seems a promising nonsurgical strategy for optimizing the selection of therapies for high-risk SESCC and warrant further investigation. |
| Related Links | https://ro-journal.biomedcentral.com/counter/pdf/10.1186/s13014-022-02162-8.pdf |
| Ending Page | 8 |
| Page Count | 8 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| DOI | 10.1186/s13014-022-02162-8 |
| Journal | Radiation Oncology |
| Issue Number | 1 |
| Volume Number | 17 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2022-11-19 |
| Access Restriction | Open |
| Subject Keyword | Cancer Research Oncology Radiotherapy Imaging Radiology Esophagectomy Esophageal neoplasms Esophageal squamous cell carcinoma Endoscopic mucosal resection Disease-free survival Chemoradiotherapy |
| Content Type | Text |
| Resource Type | Article |
| Subject | Radiology, Nuclear Medicine and Imaging Oncology |
| Journal Impact Factor | 3.3/2023 |
| 5-Year Journal Impact Factor | 3.6/2023 |
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