NCCN Guidelines for Patients® | Esophageal Cancer - page 50

NCCN Guidelines for Patients
: Esophageal Cancer
Version 1.2013
Part 5: Squamous cell carcinomas
Besides chemoradiation, your options are chemotherapy,
radiation therapy, or supportive care. If you are unable to
have chemoradiation or chemotherapy, supportive care
is recommended. This includes radiation therapy to treat
symptoms caused by cancer.
Next steps:
When you are finished with cancer
treatment, read Part 5.3 for follow-up testing. If you will
receive chemotherapy or supportive care, read Part 5.5.
5.3 Care after carcinoma treatment
• Upper GI endoscopy every 3 months for 1 year, then every year
• Health tests
▪ Medical history and physical exam every 3–6 months for 1–2 years,
then every 6–12 months for 3–5 years, then every year,
▪ CBC and chemistry blood tests as needed,
▪ Imaging tests as needed, and
▪ Upper GI endoscopy as needed
• Widening of the esophagus if needed
• Nutritional counseling
Treatment type Follow-up care
This chart lists the recommended care for when there are
no signs of cancer after treatment. Testing on a regular
basis to look for any new tumors is recommended. Which
tests are recommended is based on the type of cancer
treatment you received.
You should have upper GI endoscopies if you had EMR
or ablation. These tests can look for Barrett’s esophagus,
HGD, or cancer. A biopsy should be done to test for
cancer even when no abnormal spots are seen with the
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