Journal
SURGICAL ONCOLOGY-OXFORD
Volume 25, Issue 4, Pages 355-363Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.suronc.2016.08.003
Keywords
Esophago-gastric junction; Gastric cancer; Esophageal cancer; Recurrence; Adenocarcinoma; Palliation
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Recurrent esophago-gastric junction adenocarcinoma is not a rare event and its correct management is still debated. Many approaches for the treatment of these patients exist, but only few studies compare the different techniques. Most of the studies are retrospectives series and describe the experiences of single institutions in the treatment of recurrent esophageal and esophago-gastric junction cancers. Nowadays surgery is still the main and only curative treatment. Other alternative palliative therapies could be endoscopic stent placement and balloon dilation, photodynamic therapy, thermal tumor ablation (laser photoablation and Argon plasma coagulation), radiation therapy and brachytherapy, and chemotherapy. The aim of this review is to investigate the different rates, patterns and timings of recurrence of this tumor, and to explain the various approaches used for the treatment of recurrent esophago-gastric junction cancer. (C) 2016 Elsevier Ltd. All rights reserved.
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