Earlier diagnosis is best hope for the future
What likely developments are there in future?
A lot of research is going on in various aspects of cancer treatment, but at the moment the only real hope for improving patient outcome is to make an earlier diagnosis so that the tumour is detected at an earlier and more curable stage. This will involve early pick-up of warning signs, improved staging modalities with improvements in the quality of CT scans, the introduction of PET scanning, and perhaps needle biopsy of suspicious lymph nodes using a linear endoscopic ultrasound.
For the future we need better chemotherapeutic treatments that will deal with the micrometastases that are undetectable by current staging
It is likely that the future curative treatments of oesophageal cancer will predominantly be non-operative.