Table 2.
Potential advantages (+) and disadvantages (-) of preoperative chemoradiation and perioperative chemotherapy
| Preoperative chemoradiotherapy | Perioperative chemotherapy |
| + Better loco-regional control | + Better systemic control |
| + High rates of complete pathologic response | + No adverse events from radiotherapy |
| - Poorer response in adenocarcinoma (increased radiation sensitivity in squamous cell carcinoma) | - Poorer loco-regional control |
| - Radiation-induced changes in surgical field | - Many patients are not able to complete the postoperative regimen |