Selection criteria for definitive and palliative brachytherapy for esophageal cancer

Definitive treatment

Good candidates

Unifocal thoracic esophageal cancer ≤10 cm

No extraesophageal extension

No nodal disease or metastatic disease

Poor candidates

Tumor >10 cm in length

Extraesophageal extension

Regional lymphadenopathy

Tumor involving GE junction or cardia

Contraindications

Esophageal fistula

Cervical esophageal location

Stenosis that cannot be bypassed

Palliative treatment

Thoracic esophageal lesions with distant metastases

Unresectable local disease progression

Recurrence after definitive EBRT

GE: gastroesophageal; EBRT: external beam radiation therapy.

Adapted from Gaspar LE, Nag S, Herskovic A, et al. American Brachytherapy Society (ABS) consensus guidelines for brachytherapy of esophageal cancer. Int J Radiat Oncol Biol Phys 1997; 38:127.

Graphic 73664 Version 5.0

خرید پکیج

Selection criteria for definitive and palliative brachytherapy for esophageal cancer