Chinese guidelines for diagnosis and treatment of esophageal carcinoma 2018 (English version)
1.OverviewDespite its wide variations in China, the case fatality rate of Esophageal cancer is still high. In 2012, an estimation of 455,800 people would be diagnosed with esophageal cancer and 400,200 people would eventually die of their disease worldwide. Esophageal cancer is the 4th most common cause of cancer deaths in China, although its incidence somehow decreased during the recent years. According to Chen etal”s report in 2017, the new cases of esophageal cancer in China reached 277,000 and 206,000 people died of this disease. The crude incidence rate of esophageal cancer in China is 20.3 5/100,000, including 15.03/100.000 in urban population and 30.73/100,000 in rural population while the crude death rate is 15.17/100,000 nationwide, including 14+41/100,000 in urban population and 21.05/100,000 in rural population. The incidence of esophageal cancer in China is more common in males and in rural population. High-prevalence areas mainly locate around the Taihang Mountain (e.g. provinces such as Henan, Hebei, Shanxi, Anhui, some areas of Shandong province such as: Taian, Jining, Heze, and the north of Jiangsu province). In the highest prevalence areas like Yangcheng of Shanxi province, Yangzhong of jiangsu province and Cixian of Shanxi province, the crude incidence rate even reaches 109.5/100,000, 109.3/100,000 and 103.5/100,000, respectively (2003). Other high-prevalence areas are associated with the migration of people from the middle regions of China, including Nanchong and Yanting of Sichuan province, Shantou of Guangdong province and Fuzhou of Fujian province, etc. The incidence rate and death rate of esophageal cancer rank the 6th and the 4th in all malignancies, respectively. Therefore, esophageal cancer has long been one of the most threatening malignant tumors. Screening for the high-risk groups and for people living in the high-prevalence areas, early diagnosis and treatment are important to the improvement of the prognosis and living quality of patients with esophageal cancer. It effectively helps alleviate the medical cost of the people and government. Moreover, standardized diagnosis and treatment are also effective methods to improve the prognosis to benefit patients with mid-late esophageal cancer. Screening, early detection and standardized diagnosis and treatment should be important tasks for the hospitals and physicians nationwide.
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2019-08-30（万方平台首次上网日期，不代表论文的发表时间）
共36页
223-258
