Journal of International Oncology ›› 2025, Vol. 52 ›› Issue (5): 309-314.doi: 10.3760/cma.j.cn371439-20241009-00052

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Advances in the clinical application of neoadjuvant immunotherapy for resectable locally advanced esophageal squamous cell carcinoma

Sun Yujiao1, Yu Meili2, Ma Wenjing3, Sun Longmei1, Zhu Zhaofeng1, Zheng Yuanyuan1()   

  1. 1Department of Radiation Oncology, Affiliated Tai'an City Central Hospital of Qingdao University, Tai'an 271000, China
    2Department of Ultrasound Intervention, Affiliated Tai'an City Central Hospital of Qingdao University, Tai'an 271000, China
    3Department of Oncology and Hematology, First People's Hospital of Tai'an, Tai'an 271000, China
  • Received:2024-10-09 Revised:2024-12-04 Online:2025-05-08 Published:2025-06-24
  • Contact: Zheng Yuanyuan E-mail:yuanbao0812@163.com
  • Supported by:
    Tai'an City Science and Technology Innovation Development Project(2021NS390)

Abstract:

Esophageal cancer cases in China account for more than 50% of the world, among which approximately 90% are histological subtypes of esophageal squamous cell carcinoma. Over 50% of esophageal cancer patients are initially diagnosed at locally advanced or advanced stages. The R0 resection rate with surgical treatment alone is relatively low, and local recurrence and distant metastasis are prone to occur, resulting in a low 5-year survival rate. Recent research has focused on neoadjuvant therapy for esophageal cancer, but the most effective form of such therapy remains undetermined. Immunotherapy is currently the most active research field in tumor treatment. Further exploration of the treatment model combing immunotherapy with neoadjuvant chemotherapy or chemoradiotherapy is expected to improve the therapeutic effect and survival benefit in patients with locally advanced resectable esophageal squamous cell carcinoma.

Key words: Esophageal squamous cell carcinoma, Neoadjuvant therapy, Immunotherapy