NCCN Guidelines for Patients
Esophageal Cancer, Version 1.2016
In Part 4, the main treatment types
for esophageal cancer are briefly
described. Knowing what a treatment
is will help you understand your
treatment options listed in Parts 4 and
5. There is more than one treatment
for esophageal cancer. Not every
person will receive every treatment
described in this chapter.
Some esophageal tumors and high-risk tissue may
be treated with endoscopic methods. Such tumors
include those confined to the first layer of the
esophageal wall. These tumors have a T stage of
Tis or T1. Endoscopic treatments are done with tools
inserted through an endoscope. Doctors who perform
endoscopic resections are called endoscopists.
Endoscopic treatment for esophageal cancer includes
endoscopic resection and ablation. Endoscopic
resection involves injecting a liquid under a tumor
then using small tools to remove it.
See Figure 10
Ablation involves applying treatment directly to the
tumor that will kill cancer cells. More details on the
two types are discussed next.
esection) removes a
tumor with an endoscope that has a wire loop called
a snare. There is more than one method of how to do
EMR. The methods mainly differ by what devices are
used with the snare to remove the tumor.
Overview of cancer
32 Endoscopic treatment
34 Surgical treatment
36 Radiation therapy
40 Targeted therapy
41 Clinical trials