Esophageal Cancer

Name: Esophageal Cancer
ISBN: 9787117335799

杨跃 / 中国Apr 2025

3.8

Word count: 93K words
Chapters: 144
ISBN: 9787117335799

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Summary

This book is one volume in the Cancer Science Popularization Encyclopedia series, with a focus on esophageal cancer. Esophageal cancer ranks sixth in cancer incidence in China, and more than 60% of new cases worldwide occur in China, making the patient population enormous. For a long time, this disease has been difficult to treat; patients often have poor long-term dietary habits, relatively low economic status, and limited educational background, resulting in low acceptance of professional knowledge on standardized diagnosis, treatment, and prevention. There is therefore an urgent need to disseminate accessible, authoritative information on esophageal cancer.

The book answers questions patients care about most: what esophageal cancer is, why people get it, what tests are needed after diagnosis, staging and full-process management, endoscopic treatment of early esophageal cancer, how minimally invasive surgery is performed, how to choose between preoperative chemotherapy and preoperative chemoradiotherapy, how to choose between surgery and definitive chemoradiotherapy, what salvage surgery is, and what patients must know before surgery. It also includes classic cases and patient stories.

Editor's review

Esophageal cancer has a high incidence in China, with the majority of new cases worldwide occurring here, and the patient population varies widely in dietary beliefs and understanding of the disease. This book is a question-and-answer guide written for that reality. It addresses the practical concerns patients care about most: from what esophageal cancer is and why it develops, to what tests are needed after diagnosis and how to understand staging and full-process management, to endoscopic treatment for early lesions, minimally invasive surgery, the choice between preoperative chemotherapy and preoperative chemoradiotherapy, the trade-off between surgery and definitive chemoradiotherapy, when salvage surgery applies, and what must be understood before surgery. The questions follow the real path of clinical care. Classic cases and patient stories are included so that abstract treatment decisions are grounded in specific situations, helping readers understand the trade-offs behind different options. For groups with poor long-term dietary habits and low acceptance of standardized care, the book uses plain Q&A instead of technical jargon, making it suitable for reading shortly after diagnosis and around multidisciplinary discussions, helping patients and families clarify their thinking and reduce hesitation and delay caused by information gaps.

Who it's for

A good fit for

Newly diagnosed esophageal cancer patients and families who need to understand the testing and treatment pathway
Middle-aged and older readers with limited formal education who want plain-language Q&A on standardized care
Primary care doctors and community health educators seeking patient-communication and popular-science materials
High-risk groups concerned about prevention and early screening, especially those with poor dietary habits

Not a good fit for

Specialists seeking surgical technical details and evidence-based data
Patients hoping for individualized chemoradiotherapy plans and medication guidance
Readers in the terminal stage whose primary need is palliative care guidance

Reading tips

Start with the chapters on testing, staging, and full-process management to build an overall treatment map
When facing multiple options, use the Q&A on surgery, chemoradiotherapy, and salvage surgery to weigh pros and cons
Family members can read the cases and patient stories first, then return to the professional Q&A
After reading, write down remaining questions and ask them together at clinic visits or multidisciplinary consultations

版权信息
《肿瘤科普百科丛书》编写委员会
序
前言
一、食管癌的概述
1.什么是食管癌
2.消化系统的构成
3.上消化道的构成
4.下消化道的构成
5.食管的分段
6.食管壁的分层
二、食管癌的发病原因
1.食管癌的发病原因是什么
2.食管鳞癌的发病原因是什么
3.食管腺癌的发病原因是什么
4.胃食管反流病是怎么回事
5.什么是食管癌的癌前病变
三、食管癌的症状
1.食管癌的常见症状有哪些
2.进行性吞咽困难和体重下降
3.疼痛
4.少见症状
5.吞咽困难的分级
6.食物性状的分类
7.晚期食管癌患者和术后患者常面临的进食问题
8.食管癌患者如何科学饮食
9.食管癌患者在饮食上要注意什么
四、食管癌的预防和早期筛查
1.食管癌可以预防吗
2.防癌食物靠谱吗
3.食管癌的三级预防
4.预防食管癌，从保护食管开始
5.食管癌患者有必要做基因检测吗
6.食管癌的早期筛查怎么做
五、得了肿瘤要做哪些检查
1.病理活检
2.分期检查
3.身体评估
六、食管癌常做的检查有哪些
1.胃镜
2.早期食管癌的镜下表现是怎样的
3.超声内镜
4.纤维支气管镜
5.胸部增强CT
6.上消化道钡餐造影
7.腹部超声或腹部增强CT
8.颈部及双锁骨上淋巴结超声
9.PET/CT扫描
七、食管癌的分期与治疗
1.食管癌的TNM分期系统
2.食管鳞状细胞癌病理TNM分期（pTNM）
3.食管腺癌病理TNM分期（pTNM）
4.新辅助病理分期（ypTNM）
5.临床分期（cTNM）
6.食管癌的扩散方式有哪些
7.食管癌的区域淋巴结包括哪些
8.食管癌胸部淋巴结分组中国标准
9.AJCC联合UICC食管癌淋巴结分布标准
10.日本食管协会食管癌区域淋巴结分组标准
11.食管癌的淋巴结转移为什么“上蹿下跳”
12.食管癌的分期治疗策略
13.食管癌经过治疗后会复发转移吗
八、食管癌的外科治疗
1.早期食管癌的内镜下黏膜剥离术适应证
2.内镜下黏膜剥离术的操作流程
3.内镜下黏膜剥离术的常见并发症
4.食管癌的手术治疗是咋回事
5.食管癌手术的入路变迁
6.食管癌患者的食管切除后用什么替代
7.手术入路选择与淋巴结清扫程度有什么关系
8.食管癌手术的淋巴结清扫
9.食管癌的微创手术怎么做
10.微创McKeown手术的切口介绍
11.微创手术能带来生存获益吗
12.食管癌手术的住院过程是怎样的
13.McKeown手术后的管路管理
14.食管癌手术后常见并发症
15.食管癌手术的适应证
16.食管癌手术的禁忌证
九、食管癌的围手术期处理
1.手术前的身体评估需做哪些检查
2.如何对食管癌患者的营养状况进行评估
3.罹患食管癌怎样就诊
4.食管癌的术前准备
5.食管癌的术前谈话
6.食管癌手术后如何恢复饮食
7.术后还需要做辅助治疗吗
8.手术是否切净的考量因素
9.食管癌的术后随访和复查
10.吻合口瘢痕狭窄和吻合口复发
11.出现吻合口瘘了怎么办
12.出现气管食管瘘怎么办
13.如何预防和治疗吻合口狭窄
14.食管癌术后合并反流性食管炎如何处理
15.食管癌术后并发声音嘶哑是怎么回事
十、食管癌的化疗和放疗
1.何为肿瘤的化疗和放疗
2.食管癌的化疗
3.食管癌的放疗
4.食管癌患者如何联合放化疗
5.食管癌放射治疗有哪些模式
6.食管癌患者如何进行三维适形放射治疗
十一、化疗的毒副作用及管理
1.化疗的毒副作用产生原理
2.恶心呕吐及应对方法
3.白细胞减少及应对方法
4.脱发及应对方法
5.口腔溃疡及应对方法
6.肝脏损害及应对方法
7.化疗药渗漏、静脉炎及应对方法
8.便秘、腹泻及应对方法
十二、食管癌的新辅助治疗策略
1.食管癌综合治疗的几个基本概念
2.术前化疗和术前放化疗怎么选
3.术前放化疗
4.手术和根治性放化疗怎么选
5.什么是补救性手术
6.什么是开关手术
十三、食管癌的免疫治疗和靶向治疗
1.肿瘤免疫治疗的原理
2.免疫检查点抑制剂常见不良反应及管理
3.免疫治疗中常用的生物标志物
4.食管癌的免疫治疗
5.食管癌的靶向治疗
十四、晚期食管癌的方方面面
1.晚期食管癌怎么治
2.食管癌的营养支持怎么做
3.得了食管癌应该就诊哪个科室
4.晚期食管癌吞咽困难怎么办
5.晚期食管癌瘘了怎么办
6.晚期食管癌疼痛怎么办
7.晚期食管癌出血了怎么办
8.食管癌的5年生存率是什么
9.晚期食管癌患者可以活多久
十五、食管胃交界部癌
1.什么是食管胃交界部癌
2.食管胃交界部癌的症状有哪些
3.食管胃交界部癌的外科治疗
十六、如何治疗癌痛
1.关于癌痛的常识
2.癌痛的评估是怎样的
3.规范化的止痛原则
4.怎样选择止痛药物
5.关于癌痛的误区有哪些

FAQ

Is surgery always necessary for early esophageal cancer?

The book describes endoscopic treatment, surgery, and definitive chemoradiotherapy as different pathways for early esophageal cancer, explaining that treatment choice depends on staging, lesion characteristics, and physical condition. Early lesions may be treated endoscopically when criteria are met, helping readers understand why doctors first assess staging before discussing specific options.

How do I choose between preoperative chemotherapy and preoperative chemoradiotherapy?

The book has a dedicated question on choosing between preoperative chemotherapy and preoperative chemoradiotherapy, explaining that the two differ in treatment intensity and applicable situations and must be decided based on staging and assessment results. Readers will better understand the value of multidisciplinary discussion, but the final choice should be made by the treating team based on individual circumstances.

What is salvage surgery?

The book includes a Q&A on salvage surgery, describing its role and applicable conditions when initial treatment fails to achieve the expected result or specific situations arise. Readers can understand that treatment is not decided once and for all, and that problems found during follow-up may have subsequent management pathways; specific judgments require medical assessment.

Why is esophageal cancer so common in China?

The book explains the high incidence of esophageal cancer in China from the perspective of causes, noting that poor long-term dietary habits are common in the patient population. Readers can focus on prevention and screening content to understand the importance of improving diet and paying attention to early symptoms for reducing risk; consult a doctor for specific screening recommendations.

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About the author

杨跃 Author

Yang Yue: public information about this author is currently limited, and no clear record has been found regarding nationality, dates of birth and death, education, or professional experience. Two works by this author are held in the collection, both on medical and health topics. Judging from the subjects of Esophageal Cancer and Lung Talk: The Lungs Need Clearing, and Even More Nourishing, the author focuses on cancer prevention and treatment and on the daily care of the respiratory system, writing for general readers and turning specialized medical knowledge into readable, practical health guidance. The first book centers on understanding and responding to the disease itself, while the second approaches lung health through everyday maintenance, its title carrying a friendly tone of advice. Taken together, the two books suggest an author who prefers plain language to explain medical matters, balancing popular science with practicality in the service of public health awareness.

中国 Author · China

Li Shaolei is an author for whom publicly available information is currently limited; his life, education, and professional background remain unclear. According to the library's holdings, he has only one work, the medical book Esophageal Cancer, which indicates that his writing focuses on the field of oncology, particularly esophageal cancer. The subject matter suggests that the author may have relevant medical training or clinical experience, but his specific identity and career cannot be confirmed. In the absence of further information, readers can only understand his writing orientation through the work itself: grounded in professional medical knowledge and aimed at readers who need information on the diagnosis and treatment of esophageal cancer. Such works typically offer systematic introductions to the pathology, diagnosis, and treatment of the disease and have considerable practical and reference value. Li Shaolei's writing style and academic influence await clarification through more public information.