Screening and Preventive Strategies in Esophagogastric Cancer

Surg Oncol Clin N Am. 2017 Apr;26(2):163-178. doi: 10.1016/j.soc.2016.10.004.

Abstract

Gastric adenocarcinoma, esophageal adenocarcinoma, and esophageal squamous cell carcinoma are among the most prevalent and deadly of malignancies worldwide. Screening and prevention programs will be critical to finally improving outcomes in these diseases. For gastric adenocarcinoma, screening in high-risk populations has significantly reduced mortality. More research is needed on screening high-risk individuals in low-risk populations. For esophageal adenocarcinoma, work is needed to develop efficient and effective techniques in mass screening programs. For most Western populations, current screening is not cost effective. Avoiding environmental risk factors is critical to reducing the incidence of this deadly illness.

Keywords: Barrett esophagus; Esophageal adenocarcinoma; Esophageal squamous cell carcinoma; Gastric adenocarcinoma; Prevention; Screening.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / prevention & control*
  • Barrett Esophagus
  • Carcinoma, Squamous Cell / diagnosis*
  • Carcinoma, Squamous Cell / prevention & control*
  • Esophageal Neoplasms / diagnosis*
  • Esophageal Neoplasms / prevention & control*
  • Humans
  • Mass Screening / methods*
  • Risk Factors
  • Stomach Neoplasms / diagnosis*
  • Stomach Neoplasms / prevention & control