Dysphagia predict the response to second cycle neoadjuvant chemotherapy in first cycle no response esophageal carcinoma
Author(s) -
Yan Zheng,
Yin Li,
Jianjun Qin,
Wenqun Xing,
Xianben Liu,
Haibo Sun,
Xiankai Chen
Publication year - 2019
Publication title -
journal of thoracic disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.682
H-Index - 60
eISSN - 2077-6624
pISSN - 2072-1439
DOI - 10.21037/jtd.2019.10.02
Subject(s) - medicine , dysphagia , esophageal cancer , odds ratio , confidence interval , progressive disease , univariate analysis , oncology , response evaluation criteria in solid tumors , multivariate analysis , gastroenterology , surgery , cancer , chemotherapy
After the first-cycle of neoadjuvant chemotherapy (NAC), many patients with esophageal squamous cell carcinoma (ESCC) experience a stable disease (SD)/progressive disease (PD) response. Clinically, SD patients are recommended to receive a second cycle of NAC, and PD patients are recommended to undergo surgery if possible. However, we found some PD tumors shrank after a second-cycle of NAC. Some first-cycle SD patients may develop PD after second-cycle NAC and lose the chance of surgery. Thus, how to predict the response to second-cycle NAC for first-cycle SD/PD patients is important for clinical practice.
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