NCCN Quick Guide™ | Esophageal Cancer

1 of 2 NCCN QUICK GUIDE tm Esophageal Cancer, 2018 This NCCNQUICK GUIDE tm sheet summarizes key points from the complete NCCN Guidelines for Patients ® : Esophageal Cancer . T hese guidelines explain which tests and treatments are recommended by experts in cancer. To view and download the guidelines, visit NCC N.or g/patients or, to order printed copies, visit What is esophageal cancer? ■ Esophageal cancer is a disease of the cells that line the wall of the esophagus. ■ The two most common types are called squamous cell carcinoma and adenocarcinoma. ■ Squamous cell carcinoma is usually found in the middle or top part of the esophagus. ■ Adenocarcinoma is usually found at the bottom of the esophagus, near the stomach. 8 How do doctors give esophageal cancer a stage? They combine these key pieces of information about your cancer: ■ The size of the tumor (how far it has grown through the esophagus wall) ■ Whether there is cancer in any lymph nodes close to the esophagus ■ Whether the cancer has spread to distant parts of your body ■ How fast the cancer is expected to grow 12 What tests should I expect before treatment? Upper endoscopy & biopsy This test allows your doctor to see inside your esophagus using a long tube with a light and a video camera at one end. Using a tool attached to the endoscope, small samples of the tumor are removed for testing. 26 Endoscopic ultrasound This test uses an ultrasound device and an endoscope to see how deeply the tumor has grown into the esophagus wall. Signs of cancer in lymph nodes and other nearby organs can also be seen. 28 CT scan This imaging test takes images of the inside of your body from different angles, which are then combined to make 3-D pictures. CT is often combined with another test called PET ( p ositron e mission t omography). 26 Biomarker testing Patients whose cancer has spread (metastasized) may be offered testing for specific biomarkers. If your tumor tests positive for the markers and you meet other criteria, treatment with targeted therapy or immunotherapy may be an option for you. 29 NCCN Guidelines for Patients ® Page Number Ü NCCN GUIDELINES FOR PATIENTS ® NCCN QUICK GUIDE tm Esophageal Cancer 2018