What would your approach be for a locally advanced head and neck cancer diagnosed concurrently with a mid-esophageal cancer?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · University of North Carolina
Answered on
In the handful of similar cases that I have seen, I have worked with medical oncology to tease out a concurrent chemotherapy regimen. What we have often ended up doing is treating the head and neck cancer as normal (to 70 Gy) and the esophagus cancer to a relatively standard dose (usually to 50 Gy to keep 2 Gy fractions rather than the more standard 50.4 Gy) with concurrent carbo/taxol.
Carbo/taxol is our routine recommendation for cisplatin-ineligible patients, and while data may not be as robu...
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