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Table 6 Salvage therapy for esophageal cancer recurrence after definitive concurrent chemoradiotherapy

From: Definitive concurrent chemoradiotherapy with docetaxel plus cisplatin versus 5-fluorouracil plus cisplatin in patients with esophageal squamous cell carcinoma: long-term follow-up results of a phase II randomized controlled trial

Study

Type of recurrence

N

Salvage treatment

Short-term effect

Long-term effect

Note

Makazu,

2014 [47]

local

11

sEMR

R0 rate:84.6%

5year OS 41.6%

If the lesion does not exceed the mucosal layer and there are no lymph nodes or distant metastases.

Yano,

2008 [50]

local

21

sEMR

R0 rate:84.6%

5year OS49.1%

Takeuchi,

2013 [51]

local

19

sESD

CR rate:94.7%

3year OS 74.0%

/

Hatogai,

2016 [52]

local

113

sPDT

CR rate:58.4%

5year OS 35.9%

If the tumor invades the submucosa and sEMR treatment is unsuccessful.

Matsutani,

2017 [53]

local

12

sAPC

CR rate:58.3%

5year OS 47.0%

/

Yoo C,

2012 [54]

local

12

Salvage Esophagectomy

/

3year OS 58.0%

/

Chen Y,

2014 [55]

local

36

Salvage Chemoradiation

/

3year OS 12.2%

/

Zhou ZG,

2015 [56]

local

55

Salvage Radiotherapy

/

3year OS21.8%

/

Jie Li,

2020 [56]

distant

82

Salvage Radiotherapy

/

MST (months)

RT:14

NRT:7

(P = 0.016).

Compared with BED10 < 60 Gy, BED10 ≥ 60 Gy could further prolong the median OS (16months vs. 10 months).

  1. Abbreviations: sEMR = salvage Endoscopic mucosal resection; OS = overall survival; sESD = salvage endoscopic submucosal dissection; CR = complete response; sPDT = salvage photodynamic therapy; sAPC = salvage Argon plasma coagulation; MST = median survival time; RT = radiotherapy; NRT = non-radiotherapy; BED = biological effective dose