title: Multimodality management of esophageal cancer.
abstract: Esophageal cancer is a morbid disease with a grim prognosis. The outcomes of treatment even in non-metastatic disease undergoing potentially curative surgery are poor with 5-year survival ranging from 20 to 35 %. Several multimodality treatment options have been investigated in well-conducted randomised trials and meta-analyses evaluating both neoadjuvant and adjuvant therapies. However, there is still lack of uniform practice in the management of operable esophageal cancer. We review the current evidence for multimodality treatment of esophageal cancer, critically analysing the evidence supporting the use of each strategy, the pros and cons of each approach and discuss our approach in management. Neoadjuvant chemotherapy or chemoradiotherapy are currently the standard of care in localised esophageal cancer.
authors.affiliation: Thoracic Oncology Disease Management Group, Department of Surgical Oncology, Tata Memorial Centre, Mumbai, 400012 India.
authors.forename: Pallavi
authors.initials: P
authors.lastname: Purwar
authors.affiliation: Thoracic Oncology Disease Management Group, Department of Surgical Oncology, Tata Memorial Centre, Mumbai, 400012 India.
authors.forename: Supriya
authors.initials: S
authors.lastname: Bambarkar
authors.affiliation: Thoracic Oncology Disease Management Group, Department of Surgical Oncology, Tata Memorial Centre, Mumbai, 400012 India.
authors.forename: Sabita
authors.initials: S
authors.lastname: Jiwnani
authors.affiliation: Thoracic Oncology Disease Management Group, Department of Surgical Oncology, Tata Memorial Centre, Mumbai, 400012 India.
authors.forename: George
authors.initials: G
authors.lastname: Karimundackal
authors.affiliation: Thoracic Oncology Disease Management Group, Department of Radiation Oncology, Tata Memorial Centre, Mumbai, 400012 India.
authors.forename: Sarbani Ghosh
authors.initials: SG
authors.lastname: Laskar
authors.affiliation: Thoracic Oncology Disease Management Group, Department of Surgical Oncology, Tata Memorial Centre, Mumbai, 400012 India.
authors.forename: C S
authors.initials: CS
authors.lastname: Pramesh
keywords: Adjuvant therapy; Esophageal cancer; Neoadjuvant