Table 2. Stage-based treatment of Barrett’s carcinoma (source: 3, 23, 24).
Tumor stage | Treatment |
---|---|
High-grade intraepithelial neoplasiaT1a carcinoma | EMR/ESD followed by radiofrequency ablation of the non-dysplastic Barrett’s mucosa (two-stage treatment) |
T1b and T2 carcinoma | Esophageal resection |
T3 to T4a M0 carcinoma (possibly also for T2) | Neoadjuvant chemotherapy or radiochemotherapy → esophageal resection |
M1 carcinoma | Palliation (occasionally, in patients with limited metastases, resection of primary tumor and metastases) |
EMR, endoscopic mucosal resection; ESD, endoscopic submucosal dissection