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Radiation Oncology • Gastrointestinal Cancers • Liver and Pancreas Tumors • Internal Medicine • Gastroenterology • Advanced Endoscopy
Do you utilize EUS to determine the nodal radiation fields in esophageal adenocarcinoma?
In a patient with a large primary and a negative PET/CT for nodal disease, would you push for EUS for radiation planning? Or would this be an unnecessary delay?
Answer from: Radiation Oncologist at Academic Institution
Assuming that the primary lesion is PET avid, I would not hold up therapy for EUS. If the patient clearly needs to be treated for locally advanced disease, the only question is whether the fields need to be modified. EUS is better than CT (or PET CT) in determining the precise T-stage, especially fo...
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