Please select the option that best describes you:
Would you offer a palliative or more aggressive course of radiation therapy for a symptomatic isolated supraclavicular recurrence of a squamous cell carcinoma of the esophagus?
What would your approach be in a patient with a mid-esophageal squamous cell carcinoma treated with chemoradiation therapy followed by surgery, with PET showing a new, large supraclavicular lymph node 2 months after surgery? The patient is also planned for immunotherapy.
Answer from: Radiation Oncologist at Academic Institution
Before I decide on how to manage the patient, I would want to know the following:
In retrospect, was there a supraclavicular node on the radiation planning CT that could be deemed responsible for the new recurrence/progression?
What chemoradiation regimen was given to the patient, in...
Answer from: Radiation Oncologist at Academic Institution
Palliative.
Thank you!