[PREOPERATIVE RADIOTHERAPY IN ESOPHAGEAL NEOPLASMS. I].
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Considerable controversy surrounds the use of computed tomography (CT) in the staging of esophageal carcinoma. New evidence suggests that CT is extremely useful in the selection of patients who may benefit from surgery and/or adjuvant therapy. Additionally, CT can also plan the most efficacious surgical approach. The principles and problems of staging esophageal carcinoma are discussed and useful criteria are presented.
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The first post-therapeutic year in 33 patients with esophageal cancer treated by radiotherapy alone is analyzed. Effectiveness of treatment was measured by clinical symptoms, radiological findings, and autopsy results. Out of a group of 33 patients, 36.4% showed no subjective or objective symptoms 1 year after commencement of therapy. Based on our own experience and the literature, the concept of therapy in esophageal cancer is discussed.
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