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78

NCCN Guidelines for Patients

®

Esophageal Cancer, Version 1.2016

6

Treatment guide: Adenocarcinoma

Invasive cancer

Guide 22. Follow-up care

All tumors

Type of care

How often should this care be received?

Medical history and physical exam

• Every 3–6 months for 1–2 years

◦◦ If normal results, then repeat every 6–12 months for 3–5 years

◦◦ If normal results, then repeat every year

CBC and chemistry blood tests

• As needed

Widening of esophagus

• As needed

Nutritional counseling

• As needed

Imaging for T1b, N1–N3, M0

Prior treatment

Type of care How often should this care be received?

Esophagectomy only

Upper GI

endoscopy

• If all cancer and Barrett’s esophagus removed, as needed

• If Barrett’s esophagus not fully removed, every 3 months for

1 year

◦◦ If normal results, then repeat every 4–6 months for 1 year

◦◦ If normal results, then repeat every year for 3 years

PET/CT or CT

with contrast of

the chest and

abdomen

• Consider every 6–12 months for 3 years

◦◦ If normal results, then as needed

Chemoradiation

only or with

esophagectomy

Upper GI

endoscopy

• Every 6–12 months for 2 years

◦◦ If normal results, repeat every year for 3 years

PET/CT or CT

with contrast of

the chest and

abdomen

• Every 6–9 months for 2 years

◦◦ If normal results, repeat every year up to 5 years