Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Proposed follow up programme after curative resection for lower third oesophageal cancer | Moyes et al. World Journal of Surgical Oncology 2010 8 75 http content 8 1 75 WORLD JOURNAL OF SURGICAL ONCOLOGY REVIEW Open Access Proposed follow up programme after curative resection for lower third oesophageal cancer LH Moyes JE Anderson MJ Forshaw Abstract The incidence of oesophageal adenocarcinoma has risen throughout the Western world over the last three decades. The prognosis remains poor as many patients are elderly and present with advanced disease. Those patients who are suitable for resection remain at high risk of disease recurrence. It is important that cancer patients take part in a follow up protocol to detect disease recurrence offer psychological support manage nutritional disorders and facilitate audit of surgical outcomes. Despite the recognition that regular postoperative follow up plays a key role in ongoing care of cancer patients there is little consensus on the nature of the process. This paper reviews the published literature to determine the optimal timing and type of patient follow up for those after curative oesophageal resection. Introduction The incidence of adenocarcinoma of the oesophagus and gastric cardia has been increasing throughout the Western world over the last three decades while the incidence of squamous cell carcinoma has remained stable 1 . The prognosis is poor as many patients are elderly and present with advanced disease making them unsuitable for curative resection. The five-year survival for all patients is less than 15 2 . Surgery remains the primary curative treatment for oesophageal adenocarcinoma providing permanent relief of dysphagia and offering the possibility of cure. A recent compilation of the world literature by Jamieson et al reported overall five-year survival rates in Western countries of up to 30 in those undergoing curative resection 2 . These results represent an improvement from previous decades and can be attributed to preoperative staging investigations better assessment of .
