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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.

Endoscopic treatment

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

38 Chemotherapy

40 Targeted therapy

41 Clinical trials

42 Review