Summary
The rationale for the preoperative therapy for cancer of the esophagus is described. The first trial with infusion FUra mitomycin-c and radiation performed at Wayne State University (WSU) is described. The dramatic responses were duplicated when cisplatin was substituted for mitomycin. Moreover, survival was improved over the mitomycin-c trial. These neoadjuvant trials led to a third WSU clinical trial in which the neoadjuvant therapy became the definitive therapy.
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Earlem R, Cunha-Melo JR: Oesophageal squamous cell carcinoma: I. A critical review of surgery. Br J Surg 67:381–390, 1980
Earlem R, Cunha-Melo JR: Oesophageal squamous cell carcinoma: II. A critical review of radiotherapy. Br J Surg 67:457–461, 1980
Cukingham RA, Carey JS: Carcinoma of the esophagus. Ann Thor Surg 26:274, 1978
Skinner DB: Esophageal malignancies. Experience with 110 cases. Surg. Clin. North Am 1976; 56:137–147, 1976
Pearson JG: The present status and future potential of radiotherapy in the management of esophageal cancer. Cancer 39: 882–890, 1977
Robertson R, Coy P, Mokkhavesa S: The results of radical surgery compared with radical radiotherapy in the treatment of squamous carcinoma of the thoracic esophagus. The case for preoperative radiotherapy. J Thorac Cardiovasc Surg 53(3):430–440, 1967
Thompson WM, Halvorsen RA, Foster WL, et al.: Computed tomography for staging esophageal and gastroesophageal cancer. A re-evaluation. AJR 141:951, 1983
Halvorsen R, Magruder-Habib K, Foster W, et al.: Esophageal cancer staging by CT: Long-term followup study. Radiology 161:147–151, 1986
Anderson I, Lad T: Autopsy findings in squamous cell carcinoma of esophagus: Cancer 50:1587, 1982
Mantravadi R, Lad T, Briele H, et al.: Carcinoma of the esophagus: sites of failure. Int J Radiat Oncol Biol Phys 8:1897–1901, 1982
Leichman L, Steiger Z, Seydel HG, et al.: Combined preoperative chemotherapy and radiation therapy for cancer of the esophagus: The Wayne State University, Southwest Oncology Group and Radiation Therapy Oncology Group Experience. Sem Oncol 11:178–185, 1984
Coia LR, Engstrom PF, Paul A: Nonsurgical management of esophageal cancer: Report of a study of combined radiotherapy and chemotherapy. J Clin Oncol 5:1783–1790, 1987
Moertel CG, Reitemieier RJ, Hahn RG: Slow versus rapid administration of the fluorinated pyrimidines. In: Advanced gastrointestinal cancer clinical management and chemotherapy. New York: Harper, 1969, pp 108–118.
Calabro-Jones PM, Byfield JE, Ward JF, et al.: Time dose relationships for 5-fluorouracil cytotoxicity against human epithelial cancer cells in vitro. Cancer Res 42:4412–4420, 1982
Drewinko B, Yang LY, Ho DHW, et al.: Treatment of cultured human colon carcinoma cells with fluorinated pyrimidines. Cancer 45:1144–1158, 1980
Matsushima Y, Kanzawa F, Hpshi A, et al.: Time-schedule dependency of the inhibiting activity of various anticancer drugs in the clonogenic assay. Cancer Chemother Pharmacol 14:104–107, 1985
Seifert P, Baker LH, Reed ML, et al.: Comparison of continuously infused 5-fluorouracil with bolus injection in treatment of patients with colorectal adenocarcinoma. Cancer 36(1):123–128, 1975
Kish J, Ensley J, Weaver A, et al.: Superior response rates 96-hour 5-fluorouracil infusional versus 5-FU bolus combined with Cisplatinum (CACP) in a randomized trial for recurrent and advanced squamous head and neck cancer (HNC). (Abstr) Proc Am Soc Clin Oncol 3:179, 1984
Byfield JE, Barone RM, Mendelsohn J, et al.: Infusional 5-fluorouracil and x-ray therapy for non-resectable esophageal cancer. Cancer 45:703–708
Byfield JE: The clinical use of 5-fluorouracil and other halopyrimidines as radiosensitizers in man. In: Lokich J (ed), Cancer Chemotherapy by Infusion, Precept Press, Chicago, 1987, pp 479–501
Baker LH, Vaitkevicius VK: The development of an acute intermittent schedule-Mitomycin-c. Monograph on Mitomycin. New York Academic Press 1979, pp 77–82
Crooke ST, Bradner WT. Mitomycin-c: A review. Cancer Treat Rev 3:121–139, 1976
Nigro ND, Vaitkevicius VK, Considine B: Combined therapy for cancer of the anal canal: a preliminary report. Dis Colon Rectum 17:354–356, 1974
Buroker T, Nigro N, Bradley G, et al.: Combined therapy for cancer of the anal canal: a followup report. Dis Colon Rectum 20:677–678, 1977
Leichman LP, Nigro ND, Vaitkevicius VK, et al.: Cancer of the anal canal: model for preoperative adjuvant combined modality therapy. Am J Med 78:211–215, 1985
Won CS, Resto A, Leichman L, et al.: Preoperative adjuvant chemotherapy with 5FU and mitomycin-c and radiation therapy for rectal carcinoma. ACP/Mich Soc Int Med Oct 1982
Franklin R, Steiger Z, Vaishampayan G, et al.: Combined modality therapy for esophageal squamous cell carcinoma. Cancer 51:1062–1071, 1983
Cedarqvist C, Nielsen J, Hansen HS, et al.: Cancer of the esophagus II. Therapy and outcome. Acta Chir Scand 144:233, 1976
Kelsen DP, Heelan R, Coonley C, et al.: Clinical and pathological evaluation of response to chemotherapy in patients with esophageal cancer. Am J Clin Oncol 6:539–546, 1983
Panettiere F, Leichman L, O'Bryan R, et al.: Cisdiamminedichloride platinum II, an effective agent in the treatment of epidermoid carcinoma of the esophagus. Cancer Clin Trials 4:29–31, 1981
Martino S, Baker LH, Pollard RJ, et al.: Pulmonary toxicity of mitomycin. In: Carter SK, Crook SJ (eds), Mitomycin-c: Current Status and New Developments. New York: Academic Press 1979
Douple EB: Therapeutic potentiation in a mouse mammary tumor and an intracerebral rat brain tumor by combined treatment with cis-dichloroplatinum II and radiation. J Clin Hemat Oncol 7:585–604, 1977
Leichman. Personal communication.
Leichman L, Steiger Z, Seydel HG, et al.: Preoperative chemotherapy plus radiation therapy for patients with cancer of the esophagus: Potentially curative approach. J Clin Onc 2:75–79, 1984
Poplin E, Fleming T, Leichman L, et al.: Combined therapies for squamous cell cancer of the esophagus: A Southwest Oncology Group (SWOG 8037) Study. J Clin Oncol 5, 1987
Kelsen DP: Multimodality therapy of esophageal carcinoma: Still an experimental approach. Editorial. J Clin Oncol 5:530–531, 1987
Kelsen D: Chemotherapy for esophageal cancer. Sem Oncol 11:159–168, 1984
Shields TW, Rosen ST, Hellerstein SM, et al.: Multimodality approach to treatment of carcinoma of the esophagus. Arch Surg May 119:558–562, 1984
Kies M, Rosen ST, Tsang TK, et al.: Cisplatin and 5-fluorouracil in the primary management of squamous esophageal cancer. Cancer 60:2156–2160, 1987
Carey R, Hilgenberg AD, Wilkens EW, et al.: Preoperative chemotherapy followed by surgery with possible postoperative radiotherapy in squamous cell carcinoma of the esophagus: Evaluation of the chemotherapy component. J Clin Oncol 4:697–701, 1986
Hilgenberg AD, Carey RW, Wilkins EW, et al.: Preoperative chemotherapy, surgical resection and selective postoperative therapy for squamous cell carcinoma of the esophagus. Presented at the Society of Thoracic Surgeons annual meeting, September 20–23, 1987 Toronto, Ontario, Canada
Leichman L, Herskovic A, Leichman CO, et al.: Nonoperative therapy for Squamous Cell Cancer of the Esophagus. J Clin Onc 5:365–370, 1987
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Kenneth Norris Jr., Rm 162, 1441 Eastlake Ave, Los Angeles, CA 90033, USA
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Leichman, L. Cancer of the Esophagus: The Wayne State University experience. Invest New Drugs 7, 91–100 (1989). https://doi.org/10.1007/BF00178195
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DOI: https://doi.org/10.1007/BF00178195