What are the main treatments for esophageal cancer?

What are the treatments for esophageal cancer? Surgery, radiotherapy and chemotherapy are the main treatments. Other treatments include interventional therapy, nutritional therapy, immunotherapy, heat therapy, gene therapy, traditional Chinese medicine and so on. The most important treatment is surgery. Surgery is mainly applied to patients with early stage of disease, without invasion of vital organs, no or few lymph node metastasis, and no metastasis to other organs. With the improvement of surgical techniques, the surgical resection rate of esophageal cancer in China has increased from 60.7% in the 1950s to 90% now. Radiotherapy is an important treatment for esophageal cancer, i.e., the use of radiation to treat malignant tumors. The indications of radiotherapy are: 1. Cervical or upper thoracic esophageal cancer, which is difficult to operate and has great damage, can be preferred to radiotherapy; early stage of esophageal cancer, but those who are unwilling to operate or combined with serious systemic diseases and can not be operated (the five-year survival rate of radiotherapy for the two kinds of patients is 20-73%, and the natural course of the disease is 3-24 months without radiotherapy); 2. Patients who have undergone radical surgery, but the pathology of the tumor suggests that the tumor has localized invasion or has lymph node metastasis after operation. Patients who have undergone radical surgery, but the postoperative pathology suggests local invasion of the tumor or lymph node metastasis. 3.Patients with advanced localized disease and unresectable esophagus; or patients with palliative resection only. 4, Postoperative local recurrence and regional lymph node metastasis; 5, Palliative decompensation treatment for advanced patients. The third type of treatment is chemotherapy, which is a kind of treatment using chemical drugs to kill cancer cells. The indications of chemotherapy are: adenocarcinoma invading the muscle layer and above, squamous carcinoma invading the outer membrane and above; patients with lymph node metastasis; patients with distant metastasis. Chemotherapy is systemic treatment, while surgery and radiotherapy are local treatment, so it is especially important for those patients with poor differentiation, vascular cancer embolism and obvious metastatic tendency. Regular follow-up is also needed after esophageal cancer treatment: once every 3-4 months within 2 years; once every 6 months within 5 years after 2 years” and once every year thereafter is recommended. Chinese medicine is the traditional medicine in China, can Chinese medicine be applied during radiotherapy for esophageal cancer. It can be used. Radiotherapy has side effects, and it is more damaging to patients’ immunity, so under the guidance of doctors, they can take traditional Chinese medicines to support the positive side of the disease. However, anti-tumor traditional Chinese medicine is mostly used to fight poison with poison, and its simultaneous application can aggravate the damage of liver and kidney function of patients, so it should be used with caution.