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NCCN QUICK GUIDE

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Esophageal Cancer, Version 1.2016

What are the options for squamous cell carcinoma?

Early cancers

Treatments involving tools that are guided down your throat (endoscopic)

are preferred for tumors confined to the first layer of the esophageal

wall. When in the second layer, surgery to remove at least part of your

esophagus is an option. After surgery, you may have chemoradiation.

46

Invasive

cancers

The cancer has grown beyond the esophagus’ second layer, spread to

lymph nodes, or both. Chemoradiation, often followed by surgery, is a

common treatment.

52

Recurrent

cancers

The cancer has re-appeared on tests. For cancer near to where it

started, you may have surgery if you didn’t have it before, If you did,

chemoradiation, other surgery, and chemotherapy may be options.

58

Advanced

cancers

Advanced cancers can’t be treated with surgery or radiation. Instead,

supportive care to prevent or reduce symptoms caused by the cancer is

given. If you are healthy enough, you may receive chemotherapy.

60

What are the options for adenocarcinoma?

Early cancers

Treatments involving tools that are guided down your throat (endoscopic)

are preferred for tumors confined to the first layer of the esophageal

wall. When in the second layer, surgery to remove at least part of your

esophagus is an option. After surgery, you may have chemoradiation.

68

Invasive

cancers

The cancer has grown beyond the esophagus’ second layer, spread to

lymph nodes, or both. Chemotherapy or chemoradiation often along with

surgery is a common treatment.

74

Recurrent

cancers

The cancer has reappeared on tests. For cancer near to where it

started, you may have surgery if you didn’t have it before, If you did,

chemoradiation, other surgery, and chemotherapy may be options.

80

Advanced

cancers

Advanced cancers can’t be treated with surgery or radiation. Instead,

supportive care to prevent or reduce symptoms caused by the cancer is

given. If you are healthy enough, you may receive cancer medicines—

chemotherapy, targeted therapy, or both.

82

How do I decide between options?

Ask your doctors many questions. Also, you could get a second opinion, attend support

groups, and compare pros and cons.

90

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