Topics:
Radiation Oncology • Gastrointestinal Cancers
In a patient with distal esophageal cancer with a single non-regional neck lymph node, would you offer chemoradiation therapy or surgery to the primary site if the lymph node has a complete radiographic response after chemotherapy?
Would your answer depend on the response of the primary site?
Answer from: Radiation Oncologist at Academic Institution
If the patient continued to have dysphagia or disease in the esophagus, that would push me to do consolidative chemoradiation. If they are enjoying a good quality of life and no swallowing symptoms and no evidence of disease, I don't believe there is enough data to uniformly recommend chemoradiation...
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