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...

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...

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...

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. 


Papers discussed in this category


N. Engl. J. Med., 2001-09-06

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

Int J Radiat Oncol Biol Phys, 2007 Feb 1

J Thorac Oncol, 2006 Mar

J Clin Oncol, 2002 Mar 1

J Clin Oncol, 2007 Apr 1

J Clin Oncol, 2005 Apr 1

Curr Oncol Rep, 2019 Apr 04

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

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

Dis. Esophagus,

Int J Radiat Oncol Biol Phys, 2015 Jul 15

JAMA, 1999-05-05

J Clin Oncol, 2012 Jul 1

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

Lancet Oncol., 2014-07-01

Ann. Oncol., 2014-07-01

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

J Clin Oncol, 2012 Dec 10

J Clin Oncol, 2008 Mar 20

J. Clin. Oncol.,

N Engl J Med, 2007 Aug 16

N. Engl. J. Med., 1999-08-12

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

Thorac Surg Clin,