ArticleEcancermedicalscience2025
Locally advanced and metastatic esophageal squamous cell carcinoma in Morocco: from diagnosis to treatment.
Article in Ecancermedicalscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy and safety of tislelizumab in patients with advanced esophageal squamous cell carcinoma: a systematic review and meta-analysis.Journal of the Egyptian National Cancer Institute · 2025Pooled it
- Bone marrow mesenchymal stem cell-derived exosomal miR-93-5p suppresses esophageal squamous cell carcinoma progression and immune escape through targeting PD-L1.Translational cancer research · 2026Article
- Real-world data on oncology in Morocco: a narrative review of four decades of national evidence.Journal of cancer research and clinical oncology · 2026Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Esophageal squamous cell carcinoma (ESCC) is the most common subtype of esophageal cancer (EC) worldwide, with significant geographic variability in its incidence and outcomes. This study aims to analyse the characteristics of Moroccan ESCC patients, identify independent prognostic factors for mortality and assess access to surgery, chemotherapy, radiotherapy (RT) and targeted therapies. Methods: This retrospective study analysed data from the Marrakesh-Safi regional cancer registry. Between 2014 and 2019, a total of 78 patients were histologically confirmed to have locally advanced or metastatic ESCC. Demographic, clinical and treatment data were evaluated to determine prognostic factors for overall survival (OS) using Kaplan-Meier and multivariate Cox regression analyses. Results: The median age was 56 years (IQR: 48-66), with a slight female predominance in stage III (59%). Dysphagia was the most frequent symptom (92%), and the thoracic esophagus was the most common tumour site (53%). Performance status was significantly worse in stage IV (31% with PS 4, Conclusion: Patients with locally advanced or metastatic EC face poor survival outcomes. RT and performance status are key factors that significantly influence prognosis. These findings underscore the urgent need for early detection, enhanced access to multimodal treatments and improved healthcare infrastructure to improve survival outcomes.
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Registered trials
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