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ORIGINAL ARTICLE Esophageal Cancer Recurrence Patterns and Implications for Surveillance Feiran Lou, MD, MS, Camelia S. Sima, MD, MS, Prasad S. Adusumilli, MD, Manjit S. Bains, MD, Inderpal S. Sarkaria, MD, Valerie W. Rusch, MD, and Nabil P. Rizk, MD, MS with this malignancy will eventually die of the disease. Even Introduction: After definitive treatment of esophageal cancer, after treatment with curative intent, recurrence often devel- patients are at high risk for recurrence. Consistent follow-up is ops in patients. Regular follow-up after definitive treatment is important for detection and treatment of recurrence. The optimal believed to be an important component of cancer care, poten- surveillance regimen remains undefined. We investigated posttreat- tially allowing for earlier detection and better management of ment recurrence patterns and methods of detection in survivors of recurrences. Scant evidence exists on the optimal follow-up esophageal cancer. regimen and its impact. As a result, guidelines differ on the Methods: We retrospectively studied a cohort of patients who had method and interval of follow-up for posttreatment surveil- undergone surgical resection for esophageal cancer at our institution 2,3 lance. The use of computed tomography (CT) scan, positron between 1996 and 2010. Routine computed tomography scan and emission tomography (PET)/CT scan, upper endoscopy, and upper
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Dec 1, 2013
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