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Esophageal Cancer: Surgery Or Not?

Esophageal Cancer | Last Active: Sep 5 3:11pm | Replies (133)

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What was his initial staging? What depth of solid esophageal tumor penetration did he have... T3?

Assume he did the CROSS protocol... Carboplatin and Taxol... along with his radiation treatments?

Today... if a near complete pathological response is seen, there is a school of thought to skip esophagectomy (for now) and simply remain closely monitored (scans every 3 months?... and blood monitoring). We have some on our twice-weekly Zoom calls doing this. But... if you really want to have a chance to be done with EC... you have the esophagectomy. It's what most of us do. I'm in Irvine, and was stage 3 over 5 years ago. I did the CROSS protocol, esophagectomy, and then a year of immunotherapy... all at age 61. I'm 66 now... pretty much back to normal.

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Replies to "What was his initial staging? What depth of solid esophageal tumor penetration did he have... T3?..."

Yes. He has the cross protocol. They never gave staging. Said that would come later after surgrey. Initial scan didn't show anywhere else but esophagus was so full that they could barley get a pediatric scope down him. Oncologist said he responded to treatment very well. He should be getting scope in the next week to give more update.

Even though my post-chemo/radiation sessions showed no detectable cancer cells, I still had the esophagectomy necessary to allow oral nutrition due to positioning of the original tumor.