Journal
SURGICAL CLINICS OF NORTH AMERICA
Volume 92, Issue 5, Pages 1199-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.suc.2012.07.011
Keywords
Gastroesophageal junction tumors; Esophagectomy; Lymphadenectomy; Chemoradiotherapy
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Funding
- NIAID NIH HHS [K01 AI083097] Funding Source: Medline
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Tumors of the gastroesophageal junction have historically been treated as either gastric or esophageal cancer depending on institutional preferences. The Siewert classification system was designed to provide a more precise means of characterizing these tumors. In general, surgical treatment of Siewert 1 tumors is via esophagectomy. Siewert 2 and 3 tumors may be treated with either esophagectomy with proximal gastrectomy or extended total gastrectomy provided negative margins are obtained. All but the earliest stage tumors should be considered for neoadjuvant chemoradiotherapy.
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