How are advanced tumors of the esophagus treated?

Lyall A. Gorenstein, MD on behalf of Columbia University Department of Surgery

Thoracic Surgery (Cardiothoracic Vascular)

Patients with more advanced tumors of the esophagus are encouraged to undergo multimodality therapy with chemotherapy and radiation therapy followed by surgery. Preoperative therapy increases the likelihood of complete removal of the tumor, and increases cure rate.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.

Esophageal Cancer

Uncommon in the U.S., esophageal (pronounced ee-SAH-fuh-JEE-ul) cancer affects the tube that carries food to your stomach. Most esophageal cancers begin in the lining of the lower portion of our esophagus, which extends from our throat to our stomach, and eventually can spread to other parts of our bodies. Although asymptomatic in the beginning, esophageal cancer can cause difficulty in swallowing, weight loss, indigestion and pain behind the breastbone. If you smoke tobacco products or drink heavily, you are at higher risk of developing this disease. You are also more susceptible if you are elderly, African American or have the condition Barretts esophagus, which irritates the tube's lower portion. If you are at risk, ask your doctor to use a special scope to look down your esophagus for any abnormal areas that could cause cancer.

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