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The Management of Esophageal Squamous Cell Carcinoma:A Case Study of Neoadjuvant Chemoradiotherapy or Chemotherapy plus Surgery and Surgery Alone

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目录

第一个书签之前

ABSTRACT

摘要

LIST OF ABBREVIATIONS

LIST OF TABLES

CHAPTER ONE

GENERAL INTRODUCTION

1.1.1 Objectives of the study

1.1.1.1 Main objectives

1.1.1.2 Specific objectives

1.1.2 Significance of the study

CHAPTER TWO

2.1.1 The esophagus and its surrounding structures

Figure 1: Some surrounding structures to the esoph

2.1.2 The development and incidence of esophageal

2.1.3 Diagnosis and treatment of esophageal squamo

2.1.3.1 Diagnosis of esophageal squamous cell carc

2.1.3.2.1 Surgery (Esophagectomy)

Figure 2: Photos showing the various approaches em

2.1.3.2.2 Neoadjuvant chemoradiotherapy (nCRT) and

2.1.4 Postoperative complications

2.5 Conclusion

CHAPTER THREE

Neoadjuvant Chemoradiotherapy or Chemotherapy plus

3.1 INTRODUCTION

3.2 METHODS

3.2.1 Studies Identification

3.2.2 Data Selection

3.2.3 Inclusion and Exclusion Criteria

3.2.3.1 Inclusion criteria:

3.2.3.2 Exclusion criteria:

Figure 3: PRISMA flow diagram of literature search

3.2.4 Data Extraction

3.2.5 Statistical Analysis

Statistical analysis was performed using Review ma

3.3 RESULTS

Table 1: Clinicopathologic

Table 2: Therapeutic regi

3.3.1.1 Neoadjuvant Chemoradiotherapy versus Surge

3.3.1.2 Neoadjuvant Chemoradiotherapy versus Surge

Figure 4: Overall survival in randomized studies c

3.3.1.3 Neoadjuvant Chemotherapy versus Surgery al

Figure 5: Overall survival in randomized studies c

3.3.2 Survival Analysis of Nonrandomized Studies C

3.3.2.1 Neoadjuvant Chemoradiotherapy versus Surge

3.3.2.2 Neoadjuvant Chemoradiotherapy versus Surge

Figure 6: Overall survival in nonrandomized studie

3.3.2.3 Neoadjuvant Chemotherapy versus Surgery al

Figure 7: Overall survival in nonrandomized studie

3.3.3 Survival Analysis of All Studies Comparing N

3.3.3.1 Neoadjuvant chemoradiotherapy versus Surge

3.3.3.2 Neoadjuvant chemoradiotherapy versus Surge

Figure 8: Overall survival in all studies comparin

3.3.3.3 Neoadjuvant chemotherapy versus Surgery al

Figure 9: Overall survival in all studies comparin

3.3.4 Survival Analysis of Locally Advanced Diseas

3.3.4.1 Neoadjuvant Chemoradiotherapy versus Surge

Figure 10: Overall survival for neoadjuvant chemor

3.3.4.2 Neoadjuvant Chemotherapy versus Surgery Al

3.3.5 Survival Analysis of Patients with Locally A

3.3.5.1 Neoadjuvant Chemoradiotherapy versus Surge

3.3.5.2 Neoadjuvant chemotherapy versus surgery al

3.3.6 Survival Analysis on Patients Locally Advanc

3.3.6.1 Neoadjuvant chemoradiotherapy versus surge

Figure 12: Overall survival for neoadjuvant chemor

3.3.6.2 Neoadjuvant Chemotherapy versus Surgery Al

3.3.7 Survival Analysis on Neoadjuvant Chemoradiot

3.3.7.1 Neoadjuvant Chemoradiotherapy versus Chemo

3.3.7.2 Neoadjuvant Chemoradiotherapy versus Chemo

3.3.8 Survival Analysis of Gender

3.3.8.1 Survival Analysis of Gender Neoadjuvant Ch

3.3.8.2 Survival Analysis of Gender Neoadjuvant ch

3.3.8.3 Survival Analysis of Gender Surgery alone

Figure 13: Overall survival of males versus female

Table 3: Summary of the re

3.3.9 Assessment of Publication Bias

Figure 14: Funnel plot of overall survival in rand

Figure 15: Funnel plot of overall survival in nonr

Figure 16: Funnel plot of overall survival in all

Figure 17: Funnel plot of overall survival in stud

Figure 18: Funnel plot of overall survival males v

Figure 19: Funnel plot of overall survival and dis

3.4 DISCUSSION AND CONCLUSION

CHAPTER FOUR

Clinical Study of Proportions and Treatment Modali

4.1 INTRODUCTION

4.2.1 Data Collection

4.2.2 Data Analysis

4.3 RESULTS

Table 4: Age distribution

Table 5: Gender distributi

Figure 21: Gender distribution among study partici

Figure 23: Postoperative complications among study

Table 6: Test for associat

Table 7: Tests for strengt

Table 8: Test for associat

Table 9: Test for strength

Table 10: Test for associa

Table 11: Test for associa

Table 12: Test for associa

4.4 DISCUSSION AND CONCLUSION

CHAPTER FIVE

GENERAL CONCLUSIONS AND FUTURE WORK

5.1 GENERAL CONCLUSIONS

5.2 INNOVATION AND NOVELTY

5.3 FUTURE WORK

REFERENCES

ACKNOWLEDGEMENTS

PUBLICATIONS

APPENDICES

Figure 24: Association between age and postoperati

Figure 25: Association between gender and postoper

Figure 26: Association between surgical techniques

Figure 27: Major pretreatment examinations used fo

Figure 28: Treatment modalities used for study par

Figure 29: Association between surgical techniques

Appendix VI

Table 13: Overall statisti

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