Do you recommend esophagectomy vs adjuvant chemoradiation vs surveillance for an otherwise healthy patient with a pT1b cN0 cM0 lower thoracic esophagus SCC status post endoscopic submucosal dissection?

Topics: Radiation Oncology • Gastrointestinal Cancers

What factors and evidence would you use in your decision?

Answer from: Radiation Oncologist at Academic Institution

NCCN guidelines recommend esophagectomy for pT1b SCC. This is in part because the risk of metastasis to regional lymph nodes for T1b tumor can be upwards of 30% with an even greater likelihood in tumors penetrating into the lower two thirds (sm2 and sm3) of the submucosal layer (some series showing ...

Comments

Radiation Oncologist at Fox Chase Cancer Center
I agree with Dr. @Nina Sanford's overall assessmen...

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