Esophageal Cancer

  • Jason Chia-Hsien Cheng
  • Feng-Ming Hsu
  • Abraham J. Wu
  • Lisa A. Kachnic
Part of the Medical Radiology book series (MEDRAD)


Evaluation. Patients should have complete evaluations including contrast-enhanced computed tomography (CT) of the neck, chest, and abdomen, esophagogastroduodenoscopy (EGD), endoscopic ultrasound (EUS), whole-body fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT, and bronchoscopy for upper- and middle-third lesions. Upper gastrointestinal series (barium swallow) is recommended if EGD or EUS study is incomplete due to severe luminal obstruction. These studies help the treating physician in determining disease extension and allow accurate target volume delineation for esophageal cancer.


Esophageal Cancer Planning Target Volume Clinical Target Volume Gross Tumor Volume Thoracic Esophagus 
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References and Suggested Reading

  1. Gao XS, Qiao X, Wu F, Cao L, Meng X, Dong Z, Wang X, Gao G, Wu TT, Komaki R et al (2007) Pathological analysis of clinical target volume margin for radiotherapy in patients with esophageal and gastroesophageal junction carcinoma. Int J Radiat Oncol Biol Phys 67(2):389–396CrossRefPubMedGoogle Scholar
  2. Hong TS, Crowley EM, Killoran J, Mamon HJ (2007) Considerations in treatment planning for esophageal cancer. Semin Radiat Oncol 17(1):53–61CrossRefPubMedGoogle Scholar
  3. Hsu FM, Lee JM, Huang PM, Lin CC, Hsu CH, Tsai YC, Lee YC, Cheng JC (2011) Retrospective analysis of outcome differences in preoperative concurrent chemoradiation with or without elective nodal irradiation for esophageal squamous cell carcinoma. Int J Radiat Oncol Biol Phys 81(4):e593–e599CrossRefPubMedGoogle Scholar
  4. Kong FM, Quint L, Machtay M, Bradley J (2013) Atlases for organs at risk (OARs) in thoracic radiation therapy.
  5. Qiao XY, Wang W, Zhou ZG, Gao XS, Chang JY (2008) Comparison of efficacy of regional and extensive clinical target volumes in postoperative radiotherapy for esophageal squamous cell carcinoma. Int J Radiat Oncol Biol Phys 70(2):396–402CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Jason Chia-Hsien Cheng
    • 1
    • 2
  • Feng-Ming Hsu
    • 2
  • Abraham J. Wu
    • 3
  • Lisa A. Kachnic
    • 4
  1. 1.Graduate Institute of OncologyNational Taiwan University College of MedicineTaipeiTaiwan
  2. 2.Division of Radiation Oncology, Department of OncologyNational Taiwan University HospitalTaipeiTaiwan
  3. 3.Department of Radiation OncologyMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  4. 4.Department of Radiation Oncology, Boston Medical CenterBoston University School of MedicineBostonUSA

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