The principle of comprehensive treatment of esophageal cancer, esophageal cancer diagnosis, the disease stage was 0, I, E and part E of the patients, in patients with systemic conditions permit, should seek surgical treatment, after surgery according to the situation and pathological diagnosis The results, given postoperative radiotherapy or radiotherapy and chemotherapy. Not suitable for surgery on patients, as appropriate, given radiotherapy or radiotherapy and chemotherapy. Not radical surgery and radical radiotherapy cases, the discretion to and use of palliative radiotherapy or chemotherapy, supportive care, symptomatic treatment.
1. Esophageal different treatment of different stages
(1) I preferred case of less radical surgery. Should be complete resection of esophageal cancer, regular removal of mediastinal and upper abdominal lymph nodes, lymphatic fatty tissue around the esophagus and will be removed. Thoracic esophageal cancer aortic arch anastomosis to do some chest and upper thoracic segments carcinoma of cervical anastomosis.
(2) N phase or a more extensive lymph node metastasis, although radical surgery is not possible, feasible and radical radiotherapy, where appropriate, to the pre-operative radiotherapy in patients with esophageal cancer surgery or further surgery after the first palliative radiotherapy.
2. The different treatment of different pathological types
Adenocarcinoma of the esophagus should be surgical treatment, other treatment is not sensitive. And oat cell carcinoma is highly malignant and early widespread metastasis in, to radiotherapy and chemotherapy should be based.
3. Different parts of the treatment of various
The principle of comprehensive treatment of esophageal cancer, esophageal cancer to radiation-based cervical; esophageal cancer with surgery; esophageal cancer, upper and middle comprehensive treatment based on surgery.