TREATMENT
There are three available modes of treatment for this condition :
* Surgery
* Radiotherapy
* Chemotherapy
None of these has improved the results when used alone. Some
improvement is being obtained if the lesion is detected early.
Curative surgery can be performed in the early cases.
Stage I tumours where the tumour is confined to the lamina
propria, submucosa and surgery can ensure a 60% 5 year survival.
In all other tumours a combination of surgery and adjunctant
radiotherapy and chemotherapy are utilised. Different regimes
have yet not produced an acceptable cure rate.
Palliation can be obtained by passing tube (Celestin) past the
tumour in the lumen of the oesophagus, this allows the patient to
eat a soft diet, the average survival in these cases is less than
six months.
In early cases the tumour bearing oesophagus can be excised and
stomach mobilised for anastomosis with the proximal oesophagus
for continuity (Fig. above).
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