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Review Article
Medical Progress
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Volume 349:2241-2252 December 4, 2003 Number 23
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Esophageal Cancer
Peter C. Enzinger, M.D., and Robert J. Mayer, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Esophageal cancer is one of the least studied and deadliest cancers worldwide. During the past three decades, important changes have occurred in the epidemiologic patterns associated with this disease. Recent advances in the diagnosis, staging, and treatment of this neoplastic condition have led to small but significant improvements in survival. These new observations serve as the focus of this review.

Incidence

Cancers arising from the esophagus, including the gastroesophageal junction, are relatively uncommon in the United States, with 13,900 new cases and 13,000 deaths anticipated in 2003.1 The lifetime risk of this cancer is 0.8 percent for men and 0.3 percent . . . [Full Text of this Article]

Pathologic Process

Etiologic Factors

Squamous-Cell Carcinoma

Chronic Irritation

Genetic Predisposition

Other Associations

Adenocarcinoma

Gastroesophageal Reflux Disease

Obesity

Barrett's Esophagus

            Pathological Findings

            Genetic Findings

            Changing Histologic Findings

Prevention, Surveillance, and Screening

Diagnosis

Clinical Presentation

Diagnostic Studies

Staging and Prognosis

Management of Advanced (Stage IV) Disease

Management of Localized Esophageal Cancer

Surgery

Radiotherapy

Combination Therapy

Preoperative Radiotherapy

Preoperative Chemotherapy

Preoperative Chemotherapy and Radiotherapy

Postoperative Treatment

Nonsurgical Chemotherapy and Radiotherapy

Control of Symptoms

Dysphagia and Obstruction

Esophageal–Airway Fistula

The Future


Source Information

From the Department of Medical Oncology, Dana–Farber Cancer Institute; the Department of Medicine, Brigham and Women's Hospital; and the Department of Medicine, Harvard Medical School — all in Boston.

Address reprint requests to Dr. Enzinger at the Dana–Farber Cancer Institute, 44 Binney St., Boston, MA 02115.


Related Letters:

Esophageal Cancer
Mohammed F., Scherübl H., Zeitz M., Argyres M. I., Enzinger P. C., Mayer R. J.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:1363-1364, Mar 25, 2004. Correspondence

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