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Oesophagus 

Oesophagus
Chapter:
Oesophagus
Author(s):

Tom Roques

DOI:
10.1093/med/9780199664535.003.0008
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date: 20 August 2019

Curative treatment for locally advanced oesophageal cancer is based around either surgery or radiotherapy. In surgical candidates, neoadjuvant chemotherapy improves 2-year survival by 9%. Concomitant chemoradiotherapy is the standard nonsurgical management of locally advanced oesophageal cancer. There is a growing evidence base for the role of triple modality therapy (chemoradiotherapy followed by surgery). The optimal dose and treatment volumes for radiotherapy in the curative setting are yet to be established. Recurrence of dysphagia after curative radiotherapy may be due to a radiation-induced stricture or to recurrent cancer.

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