Abstract

Esophageal cancer (EC) is an aggressive tumor that represents the 6th most common cause of cancer death worldwide. The estimated incidence in Spain is 2090 cases/year. Two main pathological subtypes exist, squamous cell carcinoma and adenocarcinoma. The main differences between them are localization and underlying factors which are the principal cause of the recent incidence changes observed in west countries. Staging techniques and treatment options which combine surgery, chemotherapy and radiotherapy, reflected the high complexity of the EC management. An undeniably multidisciplinary approach is, therefore, required. In this guide, we review the status of current diagnosis and treatment, define evidence and propose recommendations.

Highlights

  • CLINICAL GUIDES IN ONCOLOGYSEOM Clinical Guideline for the diagnosis and treatment of esophageal cancer (2016). M

  • We review the status of current diagnosis and treatment, define evidence and propose recommendations

  • While Tobacco, alcohol, mate, nitrogenous compounds, chewing betel nut and deficits of minerals and vitamins have been associated with squamous cell carcinoma (SCC), tobacco, gastroesophageal reflux, Barrett’s esophagus, obesity and lowfiber diet have been linked with ADC [2]

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Summary

CLINICAL GUIDES IN ONCOLOGY

SEOM Clinical Guideline for the diagnosis and treatment of esophageal cancer (2016). M. This article is published with open access at Springerlink.com

Keywords Esophageal cancer Á Diagnosis Á Treatment
Diagnosis and staging
Endoscopic treatments
Distant metastasis
Adenocarcinoma Group T
Evidence Recommendation
Strong Weak Strong
Assessment of response and follow up after definitive chemoradiotherapy
Supportive care and palliation
Findings
Compliance with ethical standards
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