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NCCN Guidelines for Patients


Esophageal Cancer, Version 1.2016


Treatment guide: Adenocarcinoma

Invasive cancer

Guide 22

lists follow-up care for invasive cancers.

Follow-up care is started when there are no signs of

cancer after treatment. Imaging tests are based on

cancer staging and which treatments you’ve had.

For all invasive cancers, updates of your medical

history and physical exams should be done regularly.

Blood tests are only done when needed.

Surgery and radiation can narrow your esophagus.

Thus, you may have trouble swallowing afterward. In

this 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. He or she can make sure you are

getting enough food to eat and are eating enough

healthy foods.

Endoscopy and imaging tests are advised to look for

any new tumors. An upper GI endoscopy allows your

doctor to look inside your esophagus and stomach

and to take a biopsy. Imaging tests may reveal cancer


Imaging for T2, T3, T4, Any N, M0

Prior treatment

Type of care How often should this care be received?

Chemoradiation only

Upper GI


• Every 3–4 months for 2 years

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


with contrast of

the chest and


• As needed

Chemoradiation and



with contrast of

the chest and


• Consider every 4–6 months for 1 year

◦◦ If normal results, then repeat every 6–9 months for 2 years