Radiation Oncology

Esophageal Cancer   

Questions discussed in this category


In general, how does an esophageal stent affect what you might consider in terms of radiation dose and volume?

Would you ever treat with definitive intent in a "curative" patient who has a stent placed, or only palliatively? Does the addition of chemotherapy or...

Assuming duodenum constraints are met, could there be any benefit to boosting a positive celiac node to 61.6 Gy in 28 fractions?

Would it make a difference whether the patient was planned for chemoradiation followed by surgery or definitive nonoperative chemoradiation?

How would your decision differ if the patient was not on immunotherapy or other systemic therapy? Would your thinking differ depending on the timing o...

What would your approach be in a patient with a mid-esophageal squamous cell carcinoma treated with chemoradiation therapy followed by surgery, with P...

NCCN recommends perioperative FLOT or FOLFOX vs. neoadjuvant chemoRT with Carboplatin/Paclitaxel or FOLFOX.Does CM-577 and the approval of nivolumab p...

CheckMate 577 only included patients with R0 resection.For R1 resections, guidelines suggest observation vs re-resection only.  

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...

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...

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

Annals of surgical oncology, 2016-11

The Journal of thoracic and cardiovascular surgery, 2007 Aug

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

Pract Radiat Oncol, 2012 Oct-Dec

Curr Oncol, 2012-04-01

N. Engl. J. Med., 2012-05-31

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

J Gastrointest Cancer,

Lancet Oncol., 2015-09-01

N Engl J Med, 2006 Jul 6

The New England journal of medicine, 2002-10-17

Ann. Surg., 2007-11-01

N Engl J Med, 2021-04-01

J Clin Oncol, 2021 Apr 23

Lancet,

BMC Cancer, 2016 Jul 19

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

Thorac Surg Clin,

Lancet Oncol., 2014 Feb 18

Future Oncol, 2021 Feb 03

Annals of surgery, 2009-05

Int J Radiat Oncol Biol Phys, 2022 Jul 04

J Natl Compr Canc Netw, 2019 Jul 1

Journal of vascular and interventional radiology : JVIR, 2005-01

Journal of applied clinical medical physics, 2013-07-08

International journal of radiation oncology, biology, physics, 2017-11-15

Int J Radiat Oncol Biol Phys, 2020 Aug 25

J Clin Oncol, 2021 Jun 02

Gastrointestinal endoscopy, 2011-06

Endoscopy, 2013

International journal of clinical oncology, 2003 Dec

AJR. American journal of roentgenology, 2012 Feb

The oncologist, 2018 May 04