切除不能食道癌の治療方針

概要

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Surgical techniques have been well standardized in gastroesophageal surgery. But surgical treatment of advanced esophageal carcinoma still have many problems to be answerd, because of the esophagus localets in complicated anatomical position in the thorax and has longitudinal lymphatic flows closely related to regional lymphonodus metastasis even in early phase. Recently, neoadjuvant theraphy for advanced esophageal carcinoma has been established, and the number of resectable case is increasing after an effective adjuvant theraphies. We have experienced 90 cases of esophageal carcinoma last five years from 1987 to 1991. Twenty seven cases of them have been shown to have extraesophageal invasion. In some advanced cases, we used an adjuvant theraphy preoperatively and made resectable. In this review, our treatment for advanced esophageal carcinoma is discussed. We are trying to find and use an more effective neoadjuvant theraphy in order to resect the advanced esophageal carcinoma successfuly.
Kinki Brain Tumor Pathology Conferenceの論文