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[Neoadjuvant therapy of adenocarcinomas of the upper gastrointestinal tract. Status of radiotherapy]. / Neoadjuvante Therapie der Adenokarzinome des oberen Gastrointestinaltraktes. Rolle der Strahlentherapie.
Semrau, R; Vallböhmer, D; Hölscher, A H; Müller, R-P.
Afiliación
  • Semrau R; Klinik und Poliklinik für Strahlentherapie, Universität zu Köln, Köln. Robert.Semrau@uk-koeln.de
Chirurg ; 80(11): 1035-41, 2009 Nov.
Article en De | MEDLINE | ID: mdl-19820906
Radiotherapy in combination with simultaneous chemotherapy can improve survival of advanced esophageal adenocarcinoma. The extent of histopathological tumor regression achieved by the therapy is a relevant prognostic factor for this tumor entity. Response evaluation after radiochemotherapy of esophageal carcinoma will rely more and more on molecular factors and will allow individualization of the therapy. New combinations with taxanes and irinotecan as well as EGF receptor antagonists need to be evaluated in phase III trials. Postoperative chemoradiation and perioperative chemotherapy are evaluated in gastric adenocarcinomas and show a survival advantage. Surgery techniques used in theses trials are not recommended in current clinical guidelines.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Neoplasias Esofágicas / Carcinoma de Células Escamosas / Adenocarcinoma / Terapia Neoadyuvante Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies Límite: Humans Idioma: De Revista: Chirurg Año: 2009 Tipo del documento: Article Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Neoplasias Esofágicas / Carcinoma de Células Escamosas / Adenocarcinoma / Terapia Neoadyuvante Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies Límite: Humans Idioma: De Revista: Chirurg Año: 2009 Tipo del documento: Article Pais de publicación: Alemania