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Review Open Access

Treatment options for neoadjuvant strategies of esophageal squamous cell carcinoma (Review)

  • Authors:
    • Hai Zeng
    • Fan Zhang
    • Yujiao Sun
    • Shuang Li
    • Weijia Zhang
  • View Affiliations

    Affiliations: Department of Oncology, First Affiliated Hospital of Yangtze University, Jingzhou, Hubei 434000, P.R. China, Department of Clinical Medicine, Medical School of Yangtze University, Jingzhou, Hubei 434000, P.R. China
  • Published online on: November 20, 2023     https://doi.org/10.3892/mco.2023.2702
  • Article Number: 4
  • Copyright: © Zeng et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Compared with postoperative adjuvant therapy, neoadjuvant therapy has more potential advantages, such as decreasing tumor stage, killing micrometastatic cells. Because of these advantages, neoadjuvant therapy is recommended for numerous types of tumor, such as breast, lung and rectal cancer. To determine the role of neoadjuvant therapy on overall survival and adverse for patients with resectable esophageal carcinoma. we summarized clinical studies on 7 types of neoadjuvant therapies in this review. Currently, patients with esophageal cancer (EC) in China mainly receive postoperative treatment with <30% of patients receiving neoadjuvant therapy. One reason for the limited use of neoadjuvant therapy in China is inaccurate staging based on imaging and neoadjuvant treatment may increase difficulties in surgery. After neoadjuvant therapy, there may be tissue edema, blurry surgical field of view and unclear tissue gaps, resulting in greater difficulty in surgical procedures. However, oncologists are interested in neoadjuvant treatment, especially neoadjuvant immunotherapy to treat EC. Concurrent chemoradiotherapy for esophageal squamous cell carcinoma (ESCC) is the most common neoadjuvant treatment regimen and increases the pathological complete response (pCR) and 5‑ and 10‑year survival rates. Preoperative induction chemotherapy and sequential concurrent chemoradiotherapy are currently the most widely treatments used in clinical practice in China. However, this treatment strategy does not yield long‑term survival. The pCR rate of neoadjuvant immunotherapy is greater than that of concurrent chemoradiotherapy but, to the best of our knowledge, no evidence of long‑term survival benefit has been found in phase I and II clinical trials. Neoadjuvant treatment should be considered for patients with locally advanced ESCC.
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Copy and paste a formatted citation
Spandidos Publications style
Zeng H, Zhang F, Sun Y, Li S and Zhang W: Treatment options for neoadjuvant strategies of esophageal squamous cell carcinoma (Review). Mol Clin Oncol 20: 4, 2024.
APA
Zeng, H., Zhang, F., Sun, Y., Li, S., & Zhang, W. (2024). Treatment options for neoadjuvant strategies of esophageal squamous cell carcinoma (Review). Molecular and Clinical Oncology, 20, 4. https://doi.org/10.3892/mco.2023.2702
MLA
Zeng, H., Zhang, F., Sun, Y., Li, S., Zhang, W."Treatment options for neoadjuvant strategies of esophageal squamous cell carcinoma (Review)". Molecular and Clinical Oncology 20.1 (2024): 4.
Chicago
Zeng, H., Zhang, F., Sun, Y., Li, S., Zhang, W."Treatment options for neoadjuvant strategies of esophageal squamous cell carcinoma (Review)". Molecular and Clinical Oncology 20, no. 1 (2024): 4. https://doi.org/10.3892/mco.2023.2702
Copy and paste a formatted citation
x
Spandidos Publications style
Zeng H, Zhang F, Sun Y, Li S and Zhang W: Treatment options for neoadjuvant strategies of esophageal squamous cell carcinoma (Review). Mol Clin Oncol 20: 4, 2024.
APA
Zeng, H., Zhang, F., Sun, Y., Li, S., & Zhang, W. (2024). Treatment options for neoadjuvant strategies of esophageal squamous cell carcinoma (Review). Molecular and Clinical Oncology, 20, 4. https://doi.org/10.3892/mco.2023.2702
MLA
Zeng, H., Zhang, F., Sun, Y., Li, S., Zhang, W."Treatment options for neoadjuvant strategies of esophageal squamous cell carcinoma (Review)". Molecular and Clinical Oncology 20.1 (2024): 4.
Chicago
Zeng, H., Zhang, F., Sun, Y., Li, S., Zhang, W."Treatment options for neoadjuvant strategies of esophageal squamous cell carcinoma (Review)". Molecular and Clinical Oncology 20, no. 1 (2024): 4. https://doi.org/10.3892/mco.2023.2702
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