NCCN Guidelines for Patients® | Esophageal Cancer - page 70

70
NCCN Guidelines for Patients
®
: Esophageal Cancer
Version 1.2013
Part 6: Adenocarcinomas
This chart lists the treatment options for when
surgery can’t be done. If you are able to undergo
chemoradiation, it is recommended to try to cure the
cancer. The recommended chemotherapy regimens for
chemoradiation are:
Preferred regimens
• Cisplatin and fluoropyrimidine (5-FU or capecitabine)
• Oxaliplatin and fluoropyrimidine (5-FU or
capecitabine)
• Paclitaxel and carboplatin
Other regimens
• Paclitaxel and cisplatin
• Docetaxel and cisplatin
• Irinotecan and cisplatin
• Paclitaxel and fluoropyrimidine (5-FU or
capecitabine)
• Docetaxel and fluoropyrimidine (5-FU or
capecitabine)
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 6.3 for follow-up care. If you will
receive chemotherapy or supportive care, read Part 6.5.
TNM scores
Primary treatment
Nonsurgical options
Chemoradiation,
Chemotherapy,
Radiation therapy, or
Supportive care
T2, N0, M0
T3, N0, M0
T4a, N0, M0
T1b, N+, M0
T2, N+, M0
T3, N+, M0
T4a, N+, M0
T4b, N+, M0
1...,60,61,62,63,64,65,66,67,68,69 71,72,73,74,75,76,77,78,79,80,...100
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