Annals of Surgical Oncology

, Volume 13, Issue 1, pp 12–30

Adenocarcinoma of the Esophagus and Cardia: A Review of the Disease and Its Treatment

Educational Review

DOI: 10.1245/ASO.2005.12.025

Cite this article as:
DeMeester, S.R. Ann Surg Oncol (2006) 13: 12. doi:10.1245/ASO.2005.12.025

Abstract

Background

Over the past 50 years there has been a remarkable change in the epidemiology of esophageal cancer. Previously rare, adenocarcinoma of the esophagus and gastroesophageal junction is now the most common esophageal cancer, and in the United States the incidence is increasing faster than that of any other malignancy. Surveillance in patients with Barrett’s esophagus is identifying adenocarcinoma at an earlier, more curable stage in many patients, and at the same time new endoscopic and surgical options are available for the therapy of these localized tumors.

Methods

This article is a review of the epidemiology, diagnosis, staging, and treatment options for esophageal and gastroesophageal junction adenocarcinoma.

Results

The epidemiology, prognosis, patterns of lymphatic metastasis, and survival for esophageal and gastroesophageal junction adenocarcinoma suggest that these tumors are similar. New options for therapy, as well as the results of surgical resection with and without chemoradiotherapy, are reviewed.

Conclusions

Surveillance programs for Barrett’s are identifying patients with early, curable adenocarcinoma of the esophagus or gastroesophageal junction. Therapy for more advanced tumors hinges on local control of the disease and the eradication of systemic metastases.

Keywords

Esophageal adenocarcinoma Cardia Review Treatment Barrett’s esophagus 

Copyright information

© The Society of Surgical Oncology, Inc. 2006

Authors and Affiliations

  1. 1.Department of Cardiothoracic SurgeryThe University of Southern California, Keck School of MedicineLos Angeles

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