Cancer esophagus: Treatment modalities

ABSTRACT

Therapeutic options for cancer esophagus have increased. Treatment for each patient should be individualized. Surgical resection is the mainstay of treatment for patients with curative intent. In those with more advanced disease where the aim of treatment is obviously palliative, surgical resection is less frequently performed, given the alternatives available. Successful resection however, still offers the most complete and lasting relief of dysphagia, providing it can be carried out safely in experienced centers. In selected patients, a bypass procedure is also an option. Chemoradiation therapy is widely adopted in patients who have good performance status. Good palliation can be obtained in those who respond without the development of a radiation stricture. In selected patients who demonstrate a positive response, surgical resection is sometimes warranted, especially when tumor downstaging makes a curative resection possible. In patients without a chance of cure or in poor health, placement of stents achieves rapid, safe and cost effective palliation