Flashcards in B4. Radiotherapy, surgical, and pharmacological treatment of esophagus tumours Deck (11):
How are tumors of upper segment of esophagus treated? Lower 2/3rds of esophagus?
Chemoradiotherapy for top 1/3rd. Lower 2/3rd is treated with surgical resection
How are T3 N0-3 M0 and T2 N1-3 M0 are treated with what before surgery?
What happens if esophageal cancer has metasized
Palliative chemotherapy and/or radiotherapy
How are early T1 surgeries treated
Endoscopic mucosectomy or endoscopic submucosal dissection
3 basic types of resection
-Two incisional Ivor-Lewis procedure
-Tri-incisional McKeown procedure
What kind of radiotherapy is given for esophageal tumors?
External beam radiotherapy and internal radiation
External beam therapy (total dose of 41.4-50.4 greys) with FOLFOX protocol and oxaliplatin + 5-Fluorouracil.
CROSS protocol + taxane + carboplating
What is folfox protocol
FOL– Folinic acid (leucovorin)
F – Fluorouracil (5-FU)
OX – Oxaliplatin (Eloxatin)
What is the palliative treatment for esophageal tumors
Side effects of radiotherapy with the esophagus
-Inflammation ,pain, and temporary swallowing difficulties.
-Most severe side effect of radiotherapy is esophageal fistula perforation