Successful treatment of esophageal cancer with airway invasion with induction chemotherapy and concurrent chemoradiotherapy Journal Article


Authors: Ku, G. Y.; Goodman, K. A.; Rusch, V. W.; Ilson, D. H.
Article Title: Successful treatment of esophageal cancer with airway invasion with induction chemotherapy and concurrent chemoradiotherapy
Abstract: Esophageal cancer with airway invasion with or without fistula presents a challenging therapeutic dilemma with no standard therapy. Recent studies in Japan have focused on the use of definitive chemoradiotherapy. However, this approach is associated withsignificant treatment-related morbidity and mortality. We present a case report of a patient with thoracic esophageal squamous cell carcinoma with bronchial invasion who was treated to a clinical complete response with induction chemotherapy followed by consolidation with concurrent chemoradiotherapy. The patient also underwent restaging with a positron emission tomography scan after induction chemotherapy. Such a staged approach may reduce the morbidity of upfront radiation. The use of an interim positron emission tomography scan may also identify early treatment failure. © 2009 by the International Association for the Study of Lung Cancer.
Keywords: immunohistochemistry; human tissue; treatment outcome; treatment response; aged; case report; squamous cell carcinoma; carcinoma, squamous cell; cisplatin; multimodality cancer therapy; adjuvant therapy; radiation dose; chemotherapy, adjuvant; combined modality therapy; radiotherapy, adjuvant; cancer staging; positron emission tomography; follow up; follow-up studies; neoplasm staging; cytology; metastasis; computer assisted tomography; morbidity; pathology; biopsy; risk assessment; irinotecan; cancer invasion; dysphagia; biopsy, needle; adjuvant chemotherapy; needle biopsy; positron-emission tomography; scintiscanning; neoplasm invasiveness; endoscopy; drug tolerance; deglutition disorders; esophagus tumor; esophageal neoplasms; chemoradiotherapy; esophageal cancer; induction chemotherapy; airway; esophageal squamous cell carcinoma; bronchus tumor; endoscopic echography; bronchial neoplasms; endosonography
Journal Title: Journal of Thoracic Oncology
Volume: 4
Issue: 3
ISSN: 1556-0864
Publisher: Elsevier Inc.  
Date Published: 2009-03-01
Start Page: 432
End Page: 434
Language: English
DOI: 10.1097/JTO.0b013e3181989efa
PUBMED: 19247092
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 30 November 2010" - "Source: Scopus"
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  1. Valerie W Rusch
    864 Rusch
  2. Karyn A Goodman
    257 Goodman
  3. Geoffrey Yuyat Ku
    230 Ku
  4. David H Ilson
    433 Ilson