Radiation Oncology

Esophageal Cancer   

Questions discussed in this category



The upfront plan is to use a definitive radiation dose of 66 Gy. My reading supports the use of 5FU + cisplatin but another doctor is recommending FOL...

In the case of multiple skip lesions in the thoracic esophagus and GE junction, the PTV may encompass nearly the entire esophagus, including the supra...

As a for instance, a centrally located primary tumor with mediastinal adenopathy that results in a TE fistula? Currently we would recommend esophagea...

What chemotherapy and radiation doses/fractionation would you use once the airway has been stabilized to provide reasonably safe and effective palliat...

If the patient has large, bulky nodes would you consider starting after chemotherapy for cytoreduction? Or otherwise consider replanning mid-treatment...

I.e. Would you treat most of the normal esophagus to include a mediastinal lymph node? 

What regional lymph nodes do you include perigastric, portahepatic, periesophageal, celiac, splenic, pancreaticoduodenal, sup. mesenteric, paraesophag...

We use PET for esophageal, but not gastric cancer. GE junction seems like a grey area. 

Does the advent of FLOT in gastric cancers, change your approach to GE adeno's? Would anyone consider FLOT followed by chemoradition followed by surge...


Papers discussed in this category


The New England journal of medicine, 2001-09-06

J. Clin. Oncol., 2009-02-20

International journal of radiation oncology, biology, physics, 2007-02-01

Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2006-03

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2002-03-01

J Clin Oncol, 2007 Apr 1

J Clin Oncol, 2005 Apr 1

Current oncology reports, 2019-04-04

Int. J. Radiat. Oncol. Biol. Phys., 2016 Sep 03

Int. J. Radiat. Oncol. Biol. Phys., 2017 Jan 09

Dis. Esophagus,

International journal of radiation oncology, biology, physics, 2015-07-15

JAMA, 1999-05-05

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2012-07-01

J. Clin. Oncol., 2016-08-10

Lancet Oncol., 2014-07-01

Ann. Oncol., 2014-07-01

J. Clin. Oncol., 2015-10-01

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2012-12-10

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2008-03-20

J. Clin. Oncol.,

N Engl J Med, 2007 Aug 16

The New England journal of medicine, 1999-08-12

Int. J. Radiat. Oncol. Biol. Phys., 2008 Jan 30

Thorac Surg Clin,

Lancet Oncol., 2014 Feb 18