2019
DOI: 10.1016/j.jtho.2019.04.004
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Detecting Pathological Complete Response in Esophageal Cancer after Neoadjuvant Therapy Based on Imaging Techniques: A Diagnostic Systematic Review and Meta-Analysis

Abstract: Introduction: Up to 32% of patients with esophageal cancer show a pathological complete response (ypCR) after neoadjuvant therapy. To prevent overtreatment, the indication to perform esophagectomy in these patients should be reconsidered. Implementing an organ-preserving strategy for patients with ypCR requires an accurate assessment of residual disease after neoadjuvant treatment. The aim of this study was to systematically review the effectiveness of imaging techniques used for detection of ypCR after neoadj… Show more

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Cited by 99 publications
(86 citation statements)
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“…2 Neoadjuvant therapy with chemotherapy or chemoradiotherapy has supplemented surgery as the standard treatment of ESCA, and surgery has become more standardized and centralized. 3 Developing a robust prognostic predictor for patients with ESCA is critical for precise individualized treatment. The Tumor, Node, Metastasis (TNM) staging system is currently the most commonly used indicator for ESCA staging and prognostic prediction.…”
Section: Introductionmentioning
confidence: 99%
“…2 Neoadjuvant therapy with chemotherapy or chemoradiotherapy has supplemented surgery as the standard treatment of ESCA, and surgery has become more standardized and centralized. 3 Developing a robust prognostic predictor for patients with ESCA is critical for precise individualized treatment. The Tumor, Node, Metastasis (TNM) staging system is currently the most commonly used indicator for ESCA staging and prognostic prediction.…”
Section: Introductionmentioning
confidence: 99%
“…Esophageal cancer (ECa) is one of the alimentary tract malignancies with high morbidity and mortality. Currently, it ranks 9 th in the global cancer incidence and 6 th in the total mortality 13. In developed countries, the incidence of ECa ranks 20th, but its death ranks 11 th 4,5.…”
Section: Introductionmentioning
confidence: 99%
“… 6 The accuracy to detect locoregional lymph node metastases after nCRT is only low to moderate with positron emission tomography (PET)–computed tomography (CT) or endoscopic ultrasound. 7 With on average only 31% to 38% of patients who have lymph node metastases after nCRT, 6 the international guidelines still recommend lymph node dissection in all patients, 8 , 9 resulting in overtreatment of this patient population.…”
Section: Why Are Lymph Nodes Important For Oncologic Staging?mentioning
confidence: 99%