Neoadjuvant chemoradiotherapy treatment represents the standard approach for resectable locally advanced esophageal squamous cell carcinoma. The incidence of pulmonary infection and other perioperative complications were higher in patients who received esophagectomy and neoadjuvant chemoradiotherapy than those without neoadjuvant treatment and surgery patients. However, reliable clinical data can quantify the damage degree of immunologic function caused by chemotherapy and radiotherapy is still unknown. This project regards the level of lymphocyte and immunocyte in peripheral blood as a quantitative index to reflect the dynamic change of the immunologic function of patients with locally advanced esophageal squamous cell carcinoma after neoadjuvant chemoradiotherapy treatment. Meanwhile, the investigators will also investigate the relationship between the level of lymphocyte and immunocyte in peripheral blood and the response rate of neoadjuvant therapy.
Peripheral blood will be collected from patients who will undergo esophagectomy and/or neoadjuvant therapy. The setting time is before chemoradiotherapy, finishing chemoradiotherapy, pre-operation, postoperative day 1, day 3, day 5, and day 7. These blood samples will be used for detection and analysis in lymphocyte and immunocyte by flow cytometry.
Study Type
OBSERVATIONAL
Enrollment
138
Sichuan Cancer Hospital and Research Institute
Chengdu, Sichuan, China
Complete pathologic response rate and its relationship between peripheral blood of lymphocyte and immunocyte.
Definition of complete pathologic response is "no cancer cell, including lympho nodes".
Time frame: 3 months
Postoperative pulmonary infection rate and its relationship between peripheral blood of lymphocyte and immunocyte.
The pulmonary infection after surgery included bacterial pneumonia and viral pneumonia and fungal pneumonia.
Time frame: 3 months
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