NCCN Guidelines for Patients® | Esophageal Cancer - page 41

41
NCCN Guidelines for Patients
®
: Esophageal Cancer
Version 1.2013
Part 5: Squamous cell carcinomas
Par t 1
Par t 2
Par t 3
Par t 4
Par t 5
Par t 6
Par t 7
Par t 8
Par t 9
Definitions:
epithelium:
The first layer
of the esophageal wall
intestine:
The long tube-
like digestive organ
J-tube:
A feeding tube
Lymph node:
A small
group of disease-fighting
cells
nutritional intake:
Ingested food and drinks
submucosa:
The second
layer of the esophageal
wall
surgical margins:
The
normal-looking tissue
around the edge of a tumor
!
Read pages 28–38
for information on
cancer treatments.
After an esophagectomy, you may need adjuvant treatment. If your doctors
were able to remove all the cancer that they could see and the surgical margins
are cancer-free, no more treatment is needed. The next step of care is to start
follow-up testing. If cancer is found in the surgical margins, chemoradiation is
needed since some cancer may remain in your body. Likewise, if your doctors
weren’t able to remove all the cancer they could see or cancer was found in
distant sites, chemoradiation or supportive care are options. The recommended
chemotherapy regimens for chemoradiation after surgery are:
• 5-FU before, during, and after radiation,
• 5-FU before and after radiation with capecitabine,
• Capecitabine before and after radiation with 5-FU, and
• Capecitabine before, during, and after radiation.
Next steps:
When you are finished with cancer treatment, read Part 5.3 for
follow-up testing. If you will receive supportive care, read Part 5.5 next.
Acronyms:
5-FU
=
fluorouracil
EMR
=
endoscopic mucosal
resection
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