NCCN Guidelines for Patients® | Esophageal Cancer - page 72

72
NCCN Guidelines for Patients
®
: Esophageal Cancer
Version 1.2013
Part 6: Adenocarcinomas
You may have trouble swallowing after your esophagus
has healed from surgery or radiation. These treatments
can narrow the esophagus. If this is the case, your
esophagus can be stretched using a small balloon or
tube guided down your throat to the right spot. After
cancer treatment, it may also be helpful to meet with a
nutritionist to make sure you are getting enough food to
eat and are eating enough healthy foods.
Next steps:
If the cancer returns, read Part 6.4 for
treatment options.
Recurrence site
6.4 Recurrence of adenocarcinoma
M0 disease
M1 disease
Esophagectomy,
no chemoradiation
Chemoradiation,
no esophagectomy
Prior treatment
Chemoradiation,
Surgery,
Chemotherapy, or
Supportive care
Esophagectomy, or
Recurrence treatment
Supportive care
Supportive care
This chart maps the treatment options for cancer that
returned during follow-up testing. Options are based
on where the cancer returned. If there are no distant
metastases (M0 disease), the cancer can be treated
with concurrent chemoradiation if you didn’t have
chemoradiation before. 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
1...,62,63,64,65,66,67,68,69,70,71 73,74,75,76,77,78,79,80,81,82,...100
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