Abstract
A large number of esophageal cancer will be incurable at the time the diagnosis is made. Patients with incurable esophageal carcinoma should be treated by endoscopic palliation or palliative radiotherapy. Likewise high age and significant intercurrent disease is a major factor in decision making. Many patients will not be fit to undergo major thoraco-abdominal surgery and should be managed by other modalities. Palliation should aim at keeping patients free of symptoms of local disease during the short survival period after diagnosis.
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