[Multimodal treatment of esophageal carcinoma].

[esophageal carcinoma]

Despite major progress in clinical diagnostics and therapy , esophageal carcinoma represents a tumor entity with limited prognosis . In case of carcinoma restricted to mucosa endoscopic resection has developed into an important therapeutic method . Surgical resection represents the standard procedure for patients with locally limited (cT 1 /T 2 , N 0 ) and advanced carcinoma (cT 3 , T 4 , Nx ). In multimodal therapy neoadjuvant treatment concepts with chemotherapy or radiochemotherapy for patients with locally advanced tumors are well established . In case of metastatic disease palliative radio- and chemotherapy represent a treatment concept , however therapy efficiency is very limited . This review reflects the current status of multimodal therapy .