Carcinoma of the esophagus: basis for hope.

: On the basis of this experience and results, the frequently expressed idea that one should seek primarily only palliative measures in carcinoma of the esophagus is decried. While it is impossible to predict the outcome in many individual cases, it is also apparent that gratifying long-term results in addition to palliation can be achieved if one is perseverant and persistent in the application of sound principles in the management of this disorder. It is obvious that earlier diagnosis leads to better outcome and it is felt that this is gradually being seen. When the disease is extensive and not amenable to standard therapeutic approach, one hopes that with improved lasers, immunologic therapy and chemotherapy there will be additional hope. This report documents the merits of surgery and radiation combined for loco-regional carcinoma of the esophagus.