J.Jpn. Surg. Soc.. 81(9): 1054-1057, 1980
Report on the annual meeting
THE THERAPEUTIC SCHEDULES FOR ESOPHAGEAL CARCINOMA
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Surgical Department School of Medicine, Chiba University Kaichi Isono |
1) For the purpose of exstirpation (or decreare) of cancerous lesions and intake per os, surgical resection must be done as possible.
2) As a principle, preoperative irradiation is suited for advanced carcinoma (A2 A3) other than relative early cases (A0 A1).
3) The histological findings of resected specimen are very important in deciding the postoperative combined therapy.
4) Even the curative operation can be performed in case of a0a1, if 1y, v and intraepitherial metastasis etc. are present, intensive systemic therapy is necessary besides the preventive irradiation to neck and upper mediastinum.
5) In case of a0, a1, n (-), those without any evidence of 1y, v as well as intraepithelial etc. are followed up by immunothrapy only.
6) Even in case of a2, a3, because those with lower degree of lymph node metastasis could be expected for longer survival, adequate combined therapy should be carried out, especially local irradiation is necessary since the forme of recurrence.
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