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NCCN QUICK GUIDE
Esophageal Cancer, Version 1.2016
This NCCNQuick Guide
sheet summarizes key points from the completeNCCN Guidelines for Patients ® : Esophageal Cancer.
These guidelines explain which tests and treatments are recommended
by experts in cancer. To view and download the guidelines, visitNCCN.org/patients
or, to order printed
NCCN Quick Guide
Versio . 16
What is esophageal cancer?
The esophagus is a tube-shaped organ that connects the throat and stomach. Esophageal
cancer is a disease of cells that line the wall of this tube. The most common types are
squamous cell carcinomas and adenocarcinomas.10
How do doctors rate esophageal cancer for staging?
Tumors rated Tis are confined to first layer of the esophageal wall. T1
tumors haven’t grown beyond the second layer of the esophageal wall
while T2, T3, and T4 tumors have.14
Nearby lymph nodes rated N0 are cancer-free. N1, N2, and N3 scores
mean the cancer has spread to nearby lymph nodes.
No cancer in distant sites is rated M0. An M1 score means the cancer has
spread to one or more sites beyond the lymph nodes.
What tests do I need before treatment?
A report of your health history and an exam of your body22
Tests of blood cell counts and other blood values24
Pictures of the insides of your chest, belly area, and sometimes pelvis made by a CT scan
and if needed, PET/CT24
An exam of your upper GI tract with a tool (endoscope) that is guided down your throat
The tool may equipped with an imaging device to check the tumor depth and lymph nodes
The tool may be equipped with a device that can remove part or all of the tumor26
If needed, an exam of your airways with a tool (bronchoscope) guided down your windpipe27
If needed, an exam of your belly area with a tool (laparoscope) inserted through a small cut27
If needed, removal of tissue from distant sites to test for cancer27
Test of a marker—HER2—if M1 adenocarcinoma28