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Topics:
Radiation Oncology • Gastrointestinal Cancers • Esophageal Cancer • Medical Oncology • Gastric/GEJ Cancer
In a patient with esophageal cancer with lymph node involvement, would you consider treating with definitive chemo-radiation if they have a single area of retroperitoneal metastasis?
Patient has a cluster of retroperitoneal lymph nodes. The RP area would be initially contiguous with the radiation field, but does extend inferior to the celiac region.
Answer from: Radiation Oncologist at Academic Institution
If a patient has non-regional retroperitoneal adenopathy without other distant metastasis (i.e., below the level of the celiac axis), that patient has M1 disease, and upfront definitive chemoRT would no longer be the standard of care (systemic therapy alone would be). However, I would then consider ...
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