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Published in: Annals of Surgical Oncology 8/2019

01-08-2019 | Esophageal Cancer | Thoracic Oncology

Does a Lymph Node-Based Model Predict Clinical Value for Adjuvant Therapy in Squamous Cell Carcinoma of the Esophagus Treated With Upfront Surgery?

Authors: Dana McCloskey, MD, David D. Shersher, MD

Published in: Annals of Surgical Oncology | Issue 8/2019

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Excerpt

The management of esophageal cancers is different outside the Western world, where the majority of esophageal cancer histology is squamous cell carcinoma (SCC) and many high-volume centers still use an esophagectomy-first approach. This differs from Western methodology, which is rooted in the landmark 2012 randomized ChemoRadiotherapy for Oesophageal cancer followed by Surgery Study (CROSS) trial, which demonstrated a clear difference in median overall survival of 49.4 versus 24.0 months between neoadjuvant chemoradiotherapy plus surgery and surgery only, respectively.1 The safety and efficacy of the CROSS regimen led to its wide adoption in North America, with neoadjuvant chemoradiotherapy for all esophageal carcinomas and consideration of surgery as trimodality therapy for appropriate candidates. …
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Metadata
Title
Does a Lymph Node-Based Model Predict Clinical Value for Adjuvant Therapy in Squamous Cell Carcinoma of the Esophagus Treated With Upfront Surgery?
Authors
Dana McCloskey, MD
David D. Shersher, MD
Publication date
01-08-2019
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 8/2019
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-019-07491-9

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