Esophageal Cancer Diagnosis and Treatment
At Orange County Radiation Oncology, once cancer has been diagnosed, our specialists may order diagnostic testing and imaging to help determine the stage and extent of the disease. It is very important to do a comprehensive esophageal cancer work-up to carefully evaluate the extent of the cancer.
- Medical history and physical exam
- Barium swallow
- Biopsy and molecular assessment
- Blood tests
- Upper endoscopy
- Bronchoscopy/Thoracoscopy/Laparoscopy
- Chest x-ray
- MRI scan
- CT scan
- Endoscopic Ultrasound
- PET imaging
Depending on the type and stage (severity) of the esophageal cancer, the following treatments may be necessary. At Orange County Radiation Oncology, we use the most advanced therapies available to treat esophageal cancer. An individualized plan of care may include multiple types of treatments.
Surgical options may include:
Esphagectomy (removal of some or most of the esophagus and some surrounding healthy tissue)
Lymph node removal
Other forms of non-surgical interventions for esophageal cancer include:
Radiation – Any remaining cancer cells left after surgery are destroyed with high-energy radiation beams. For some esophageal cancer, treating with chemotherapy at the same time can make radiation therapy work better. It is possible to receive radiation therapy before, during or after surgical intervention. Also, when surgery is not possible, radiation can be used to help slow the growth of the tumor.
Chemotherapy – Chemotherapy (chemo) are anti-cancer drugs that may be given intravenously (injected into your vein) or by mouth. The drugs travel through the bloodstream to reach cancer cells in most parts of the body. Chemotherapy can sometimes be given before, during or after surgery. At Orange County Radiation Oncology, our team provide extensive education and supportive care through your therapy.
Targeted Treatments – Targeted drugs work differently from chemo drugs. They sometimes work when chemo drugs don’t, and they often have different side effects. They can be used either along with chemotherapy or by themselves if chemotherapy is no longer working. Targeted treatment options are determined by further genetic testing of the tumor cells. This type of testing is usually done on the biopsied tissue of the tumor cells.
Immunotherapy – Immunotherapy is the use of medicines to help a person’s own immune system better recognize and destroy cancer cells. Immunotherapy can be used to treat some people with advanced esophageal cancer.
