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Detection and management of oligometastatic disease in oesophageal cancer and identification of prognostic factors: A systematic review

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World Journal of Gastrointestinal Oncology 2019年第9期11卷 741-749页

作者： Sara Jamel karina tukanova Sheraz Markar Department Surgery and Cancer Imperial College London

BACKGROUND Oesophageal cancer is the eighth most common cancer *** prognosis of oesophageal cancer patients still remains *** 5-year survival rate rarely exceeds 5%in case of metastatic *** patients may however present with oligometastasis which can be treated with loco-regional *** To assess the current practice regarding the management of patients with oligometastatic oesophageal cancer and identify prognostic factors affecting survival following treatment for *** A systematic search of the literature was performed in Cochrance Library,MEDLINE and EMBASE databases from September 1950 to January *** electronic databases were searched for studies assessing the clinical outcome of *** A total of 14 publications were included,of which 12 studies assessing metachronous oligometastasis and 2 on synchronous *** included articles evaluated the specific outcomes of metastasis,management modality and survival *** majority of the patients presented with oesophageal squamous cell *** median disease free interval(time to recurrence)in patients was 19.6 mo and the overall survival reached 30.8 *** prognostic factors were assessed in eight studies and included time to recurrence20 mm),disease free interval(DFI)<12 mo,extra-pulmonary metastasis,primary tumour pathological stage III/*** Oligometastatic oesophageal cancer in selected patients is amenable to locoregional treatment,and the overall survival of this patient cohort may be improved with patient and tumour-specific treatments.

关键词： Oligometastasis Oesophageal cancer Neoplasm Liver Pulmonary

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