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Esophageal Cancer: Surgery Or Not?

Esophageal Cancer | Last Active: 2 hours ago | Replies (43)

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@etomami

My spouse is dx with Stage 11 esophageal cancer lower 1/3. PET scan shows it is localized. We saw sx and he suggests Neoadjuvant Chemo then Ivor Lewis sx. My husband is a healthy 70 year old but is weighing option of just proceeding with Chemo/Radiation and no Sx. Very stressful decision.

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Replies to "My spouse is dx with Stage 11 esophageal cancer lower 1/3. PET scan shows it is..."

What is your husband... stage 1a... 1b? Or did you mean stage 2 (certainly not stage 11)? But yes... is it OK to just do treatments and forgo esophagectomy? Only if a complete pathological response is seen. But even then... he must remain closely monitored for many years, because it usually comes back. If he was a true stage 1 they'd still recommend straight to surgery. But initial staging is tricky... and not always accurate (whereas post-op pathology gives a more accurate staging... even though still not perfect). Wishing you both the best.

Gary