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Esophageal cancer (EC) ranks among the most prevalent malignant tumors affecting the digestive tract. Esophageal squamous cell carcinoma (ESCC) stands as the prevailing pathological subtype, encompassing approximately 90% of all EC patients. In clinical stage II-IVA locally advanced ESCC cases, the...

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Published inWorld journal of gastroenterology : WJG Vol. 29; no. 34; pp. 5038 - 5053
Main Authors Li, Jia-Yao, Tian, Tian, Han, Bing, Yang, Ting, Guo, Yi-Xin, Wu, Jia-Yu, Chen, Yu-Si, Yang, Qin, Xie, Ru-Jia
Format Journal Article
LanguageEnglish
Published Baishideng Publishing Group Inc 14.09.2023
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Summary:Esophageal cancer (EC) ranks among the most prevalent malignant tumors affecting the digestive tract. Esophageal squamous cell carcinoma (ESCC) stands as the prevailing pathological subtype, encompassing approximately 90% of all EC patients. In clinical stage II-IVA locally advanced ESCC cases, the primary approach to treatment involves a combination of neoadjuvant therapy and surgical resection. Despite concerted efforts, the long-term outcomes for ESCC patients remain unsatisfactory, with dismal prognoses. However, recent years have witnessed remarkable strides in immunotherapy, particularly in the second- and first-line treatment of advanced or metastatic ESCC, with the development of monoclonal antibodies that inhibit programmed death 1 or programmed death ligand 1 demonstrating encouraging responses and perioperative clinical benefits for various malignancies, including ESCC. This comprehensive review aims to present the current landscape of perioperative immunotherapy for resectable ESCC, focusing specifically on the role of immune checkpoint inhibitors during the perioperative period. Additionally, the review will explore promising biomarkers and offer insights into future prospects.
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Supported by the National Natural Science Foundation of China, No. 82260127; Guizhou Provincial Science and Technology Projects, No. Qiankehe Jichu-ZK[2021]365 and Qiankehe Jichu-ZK[2021]364; National Natural Science Foundation Cultivation Project of Guizhou Medical University, No. 20NSP016; Guizhou Provincial Natural Science Foundation, No. [2021]4029 and [2022]4017; and Science and Technology Foundation of Guizhou Provincial Health Commission, No. gzwjkj2019-1-102.
Author contributions: Xie RJ and Yang Q contributed to the experimental conception and design; Li JY, Tian T, and Han B conducted the experiments; Yang T and Guo YX collected and assembled the experimental data; Li JY, Chen YS, and Wu JY contributed to data analysis and interpretation; Li JY and Xie RJ wrote the article; All authors approved the final manuscript. Li JY, Tian T, and Han B contributed equally to this work.
Corresponding author: Ru-Jia Xie, MD, Academic Research, Department of Pathophysiology, College of Basic Medical Sciences, Guizhou Medical University, Dongqing Road, Guiyang 550025, Guizhou Province, China. 592153968@qq.com
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v29.i34.5038