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KMID : 1104820140020020064
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Journal of Digestive Cancer Research
2014 Volume.2 No. 2 p.64 ~ p.67
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A Case of Complete Remission to Advanced Esophageal Cancer by a Palliative Chemotherapy
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Tak Dae-Hyun
Moon Hee-Seok
Jeong Hyun-Yong
Sung Jae-Kyu
Kang Sun-Hyung
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Abstract
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Esophageal cancer has a poor prognosis, because the progression rate is faster compared to that of other cancers, Up to 30-40% of cases are inoperable at diagnosis, and most cases occur in the elderly. By this time, surgery has been regarded as the treatment of choice in patients suffering esophageal cancer and recent improvements in surgical techniques and perioperative management have significantly increased the resection rate and reduced the operative mortality. And Although the combination of chemotherapy and radiation therapy has been reported to be an effective treatment for esophageal cancer, most cases show only partial remission. Moreover, radiation therapy alone or chemotherapy alone has limited efficacy. We report a rare case of an 80-year-old man who presented with a chief complaint of dysphasia and was diagnosed with advanced esophageal cancer, with a review of the literature. Considering his advanced age, generally poor performance status, and the risk of fistula development after radiation therapy due to indentation of esophageal cancer into the main bronchus, palliative, rather than therapeutic, chemotherapy was performed, and complete remission was obtained.
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KEYWORD
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Cancer esophagus, Chemotherapy, Remission complete
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