For a GE junction tumor with a lymph node distant from the primary site, would the treatment volume be contiguous?

Topics: Radiation Oncology • Gastrointestinal Cancers • Esophageal Cancer

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

Answer from: Radiation Oncologist at Academic Institution

In general, a LN metastasis more cephalad to the primary GEJ tumor should be included as one contiguous volume with the primary tumor CTV. The rationale for this approach is that the lymphatic system of the esophagus is directly within the wall of the esophagus, so a LN metastases can skip up the e...

Comments

Radiation Oncologist at Cancer Center Riverside Community Hospital
Thank you @Salma K. Jabbour. I would understand in...

Radiation Oncologist at Rutgers Robert Wood Johnson Medical School
In that situation, a team decision can be made abo...

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