Topics:
Radiation Oncology • Gastrointestinal Cancers
Do you electively cover the celiac axis in a patient with node negative middle third to distal, and GEJ esophageal carcinoma?
What factors do you use in deciding whether or not to electively cover the celiac axis?
Answer from: Radiation Oncologist at Community Practice
We do treat celiac axis nodes for distal esophagus and GE junction tumors along with the gastrohepatic nodal region for patients treated with a curative intent.
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Answer from: Radiation Oncologist at Community Practice
A surgical series of 462 consecutive patients treated with curative resection after chemoRT showed a celiac node metastasis in 15% of patients. Only 31% were identified on EUS/CT (not PET staged). Obviously PET will increase this sensitivity.MDACC published their series of 131 patients treated with ...