食管胃结合部腺癌的多学科综合治疗

Multidisciplinary treatment of adenocarcinoma of esophagogastric junction

  • 摘要: 食管胃结合部腺癌的发病率不断上升,但其治疗策略尚存诸多争议。外科手术是其多学科综合治疗的主要手段。Siewert分型及TNM分期对于手术入路选择、临床决策及预后判断起决定性作用。围术期放化疗在食管胃结合部腺癌多学科综合治疗中占重要地位,当前更多研究支持食管胃结合部腺癌患者术前行新辅助治疗。此外,随着靶向药物治疗不断涌现,靶向治疗已成为食管胃结合部腺癌多学科综合治疗重要组成部分。食管胃结合部腺癌的特殊性决定了其治疗需要多学科协同合作,多学科团队合作有望改善食管胃结合部腺癌患者预后。

     

    Abstract: The incidence of adenocarcinoma of esophagogastric junction (AEG) is increasing, but its treatment strategy is still controversial. Surgery is the main strategy of multidisciplinary treatment. Siewert classification and TNM staging play a decisive role in the choice of operative approach, clinical decision and prognosis. Perioperative chemoradiotherapy plays an important role in the multidisciplinary treatment of AEG, and more researches support neoadjuvant therapy in patients with AEG. What′s more, targeted therapy has become an integral part of multidisciplinary treatment of AEG with the constantly emergence of targeted drugs. In addition, the particularity of AEG determines that its treatment requires multidisciplinary cooperation, and the multidisciplinary team is expected to improve the prognosis of AEG patients.

     

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