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Salvage Esophagectomy for Persistent Disease After Definitive Chemoradiotherapy

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Difficult Decisions in Thoracic Surgery

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Abstract

The optimal management of locally advanced cancer of the esophagus remains controversial. Given recent advances in the results of combined concurrent chemoradiation, medical and radiation oncologists are dubious about the additional benefit of surgical resection in patients that respond to non-surgical therapy. However, despite a perceived complete local-regional response, many patients will manifest persistent or recurrent disease that is potentially resectable. This chapter aims to discuss the feasibility and pitfalls of opting for salvage esophagectomy.

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Author information

Authors and Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA

    Wayne Hofstetter

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  1. Wayne Hofstetter
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Editors and Affiliations

  1. Dept. Surgery, Mail Code 5035, University of Chicago, S. Maryland Avenue 5841, Chicago, 60637, Illinois, USA

    Mark K. Ferguson

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Hofstetter, W. (2011). Salvage Esophagectomy for Persistent Disease After Definitive Chemoradiotherapy. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-84996-492-0_26

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  • DOI: https://doi.org/10.1007/978-1-84996-492-0_26

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  • Print ISBN: 978-1-84996-364-0

  • Online ISBN: 978-1-84996-492-0

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