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Topics:
Radiation Oncology • Gastrointestinal Cancers
In what situations, if any, do you offer postoperative radiation or chemoradiation for patients with squamous cell carcinoma of the esophagus?
Would your recommendation change if the histology was adenocarcinoma (excluding GE junction tumors)?
Answer from: Radiation Oncologist at Academic Institution
A very pertinent question, especially as the pendulum has swung towards treating esophageal cancers with neoadjuvant therapy - indeed, it has been quite a few years since I have treated an esophageal cancer case adjuvantly. The way I think about it, is that what is good for neoad...
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Answer from: Radiation Oncologist at Academic Institution
While in the US/ Europe, the overwhelming approach for ESCC is neoadjuvant chemoradiation +/- surgery (our institution uses surgery only for incomplete response to chemoradiation based on the German/French data), in Asian countries, where the relative percent of squamous cell carcinomas is higher th...