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Does neoadjuvant chemotherapy improve survival in patients with resectable thoracic oesophageal cancer?

Three Part Question

In [patients with resectable oesophageal carcinoma] does [neoadjuvant chemotherapy compared to surgery alone] improve [survival]?

Clinical Scenario

You are attending the thoracic multidisciplinary meeting. The case of a 44-year-old man with localised, resectable oesophageal carcinoma is discussed. One of the oncologists suggests neoadjuvant chemotherapy for this patient, however, the thoracic surgeon disagrees with his suggestion claiming that there is no benefit of this strategy and it would make surgery more difficult. You resolve to investigate this further.

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