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[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
.