How do you manage unresectable esophageal cancer involving both the thoracic esophagus and GE junction?  

In the case of multiple skip lesions in the thoracic esophagus and GE junction, the PTV may encompass nearly the entire esophagus, including the supraclavicular and celiac nodal regions. If a patient cannot undergo surgery, can this large volume be safely treated with chemoradiation? Would you decrease the dose to your initial field to below 4140cGy to meet normal tissue constraints? Does the histology of SCC or adenocarcinoma change your recommendation?



Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist
What lung constraints do you recommend when treati...
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Answer from: Radiation Oncologist at Academic Institution

Answer from: Radiation Oncologist at Community Practice