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Oesophageal squamous cell carcinoma: lines of therapy

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4 standard-of-care settings across 4 lines and 1 biomarker subgroup. Rows come from the cancer page's standard of care; the grid places each on its line and subgroup.

LineAll comers
Screening, prevention and diagnosis1
Early / localised1
Locally advanced1
Advanced, first line1

Screening, prevention and diagnosis

SubgroupSettingApproachProducts and trialsEvidence
All comersPrevention and screeningSmoking cessation, alcohol reduction, avoiding very hot drinks; endoscopic screening in high-incidence regions of China.32

Early / localised

SubgroupSettingApproachProducts and trialsEvidence
All comersEarly (T1a)Endoscopic submucosal dissection; oesophagectomy or chemoradiation if deeper invasion is found.40

Locally advanced

SubgroupSettingApproachProducts and trialsEvidence
All comersLocally advancedNeoadjuvant carboplatin-paclitaxel chemoradiation and surgery (CROSS), or definitive cisplatin-fluorouracil chemoradiation with surgery reserved for persistent disease; adjuvant nivolumab after incomplete response (CheckMate 577).86

Advanced, first line

SubgroupSettingApproachProducts and trialsEvidence
All comersMetastatic, first lineNivolumab plus chemotherapy or nivolumab plus ipilimumab (CheckMate 648), or pembrolizumab plus chemotherapy (KEYNOTE-590).98

Lines and subgroups are parsed from the setting text of each standard-of-care row and can misclassify an unusual phrasing; the row’s own setting is always shown. Guideline chips reflect the NCCN category and ESMO-MCBS grade recorded on the cancer page, checked on its stated date. Not medical advice.