In a patient with a mid-esophageal squamous cell carcinoma with tracheal invasion confirmed on bronchoscopy, would you treat with definitive chemo-radiation with curative intent?
Additionally, would you consider prophylactic stent placement and/or gastrostomy in anticipation of a fistula?
Answer from: Radiation Oncologist at Academic Institution
Answer from: Radiation Oncologist at Academic Institution
Curative-intent chemoradiation can be technically challenging for a mid-esophageal squamous cell carcinoma with tracheal invasion due to the risk of creating or worsening a tracheoesophageal fistula during treatment. Whether I would treat a patient with a mid-esophageal squamous cell carcinoma with ...