Palliative techniques in esophageal cancer

Year 2012, Volume: 29 Issue: 4S, 257 - 266, 07.05.2013

Atilla Eroğlu , Yener Aydın

https://doi.org/10.5835/jecm.omu.29.s4.011

Abstract

Today, curative treatment of esophageal cancer can be achieved by surgery. Dysphagia doesn’t seen until tumor diameter reaches at least 50% of esophagus diameter so curative treatment with esophagectomy can’t be provided in most patients. Spreading to remote areas is usually seen when the disease diagnosed. In patients that curative treatment is not possible, palliative tratment methods are used to control tumor associated symptoms and systemic symptoms. Palliative treatment choice of malignant dysphagia in esophageal cancer patients varies according to disease stage, tumor location, general condition of patient, physician’s experience. Palliative treatment of esophagus cancer can be grouped under four main headings. These are lumen reconstruction, surgery, chemotherapy and radiotherapy

Keywords

Esophageal cancer, Palliation, Stent, Chemotherapy, Radiotherapy, Surgery

Özofagus kanserinde palyatif teknikler

Abstract

Günümüzde özofagus kanserinin küratif tedavisi cerrahi ile sağlanabilmektedir. Özofagus çapının en az % 50’si tümör ile tutuluncaya kadar disfaji görülmemesi nedeniyle hastaların çoğunda özofajektomi ile küratif tedavi sağlanamamaktadır. Hastalık teşhis edildiğinde genellikle uzak bölgelere yayılım gösterdiği tespit edilmektedir. Küratif tedavinin mümkün olmadığı hastalarda tümörle ilgili ve sistemik semptomların kontrol altına alınabilmesi için palyatif tedavi metotları geliştirilmiştir. Özofagus kanserli hastalarda malign disfajinin palyasyonunda tedavi seçimi hastalığın evresi, tümör lokalizasyonu, hastanın genel durumu ve hekimin tecrübesine göre değişmektedir. Özofagus kanserinin palyatif tedavisi dört ana başlık altında toplanabilir. Bunlar lümenin yeniden oluşturulması, cerrahi, kemoterapi ve radyoterapidir. 

Keywords

Özofagus kanseri, Palyasyon, Stent, Kemoterapi, Radyoterapi, Cerrahi

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