Recurrence after surgery in esophago-gastric junction adenocarcinoma: Current management and future perspectives. (December 2016)

• Record Type: Journal Article
• Authors: Neri, Alessandro; Marrelli, Daniele; Voglino, Costantino; Di Mare, Giulio; Ferrara, Francesco; Marini, Mario; Roviello, Franco
• Is Part Of: Surgical oncology. Volume 25:Number 4(2016)
• Page Start: 355
• Page End: 363
• Publication Date: 2016-12
• Subjects: Esophago-gastric junction -- Gastric cancer -- Esophageal cancer -- Recurrence -- Adenocarcinoma -- Palliation; Cancer -- Surgery -- Periodicals; Neoplasms -- surgery -- Periodicals; Cancer -- Chirurgie -- Périodiques; Electronic journals; 616.994059
• DOI: 10.1016/j.suronc.2016.08.003
• Languages: English
• ISSNs: 0960-7404

Abstract

Abstract: 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. Highlights: The correct management of recurrent esophago-gastric junction cancer is still debated. Surgery is the main and only curative treatment but other palliative therapies have been proposed. The different rates, patterns and timings of recurrence of this tumor have been analyzed. The various approaches for recurrent esophago-gastric junction cancer have been described.