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High-Grade Dysplasia and Superficial Esophageal Carcinoma: The Best Therapy from the Perspective of the Surgeon

机译:高级发育不良和浅表食管癌:从外科医生的角度来看最好的疗法

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In 2009 the Society of Thoracic Surgeons (STS) published guidelines on the management of high-grade dysplasia (HGD) of the esophagus. It is noteworthy that in the few-years since this publication the standard of care for HGD and even early-stage esophageal cancer has undergone considerable evolution from esophagectomy to greater use of esophageal sparing therapies such as endoscopic resection (ER) and mucosal ablation primarily with radiofrequency ablation (RFA). In response to this the STS is developing a revision of these guidelines, which will soon be available. In the following review, the optimal approach for HGD, intra-mucosal (T1aN0) cancer and submucosal (T0bN0) esophageal cancer is discussed.
机译:2009年,胸外科医生(STS)社会公布了关于食道高级别发育血症(HGD)的管理指南。值得注意的是,在这出版物本出版物的几年内,HGD的护理标准甚至早期食管癌都经历了从食道切除术中的相当大的进化,从食管释放疗法等进取疗法(ER)和粘膜消融主要使用射频消融(RFA)。为了响应此,STS正在制定对这些指南的修订,即将推出。在下文中,讨论了HGD,粘膜内(T1AN0)癌症和粘膜癌(T0BN0)食管癌的最佳方法。

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