Published in:
01-06-2011
Challenges in the Treatment of Gastroesophageal Junction Cancer
Author:
Theodore Liakakos
Published in:
World Journal of Surgery
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Issue 6/2011
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Excerpt
In contrast to gastric cancer, an increase in the incidence rate of cancer that anatomically straddles the distal esophagus and proximal stomach, called cardia or gastroesophageal junction (GEJ) cancer or adenocarcinoma of the esophagogastric junction (AEG), has being observed. Despite advances with abdominothoracic surgery, chemotherapy, radiotherapy, and more recently the anti-HER2 agent trastuzumab, prognosis remains poor. Optimal multidisciplinary treatment has been hotly debated perhaps because most phase II/III clinical trials data available have emerged by including GEJ cancer either in gastric or esophageal cancer studies. The origin, causation, biological behavior, prevention, and treatment of AEG cancer remain controversial. …