NCCN Guidelines for Patients® | Esophageal Cancer - page 71

71
NCCN Guidelines for Patients
®
: Esophageal Cancer
Version 1.2013
Part 6: Adenocarcinomas
Par t 1
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Par t 6
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Definitions:
Barrett’s esophagus:
The presence of stomach
cells within the lining of the
esophagus
biopsy:
Removal of small
amounts of tissue or fluid to
be tested for disease
HGD:
A pre-cancerous
change in cells
Imaging test:
A test that
makes pictures of the
insides of the body
Supportive care:
Treatment for symptoms
that are caused by cancer
or by cancer treatment
!
Read pages 12–15
for information on
tests.
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 endoscope.
If you had an esophagectomy or chemoradiation, follow-up testing should
include a medical history and physical exam. If there are signs of cancer, blood
and imaging tests may be done. Likewise, an upper GI endoscopy to view the
area and take a biopsy can reveal if the cancer has returned.
6.3 Care after adenocarcinoma treatment
• Upper GI endoscopy every 3 months for 1 year, then every year
• Medical 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
Endoscopic
Treatment type Follow-up care
Non-endoscopic
Acronyms:
CBC
=
complete blood
count
GI
=
gastrointestinal
HGD
= high-grade dysplasia
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