Medical MCQ-A patient with carcinoma lower 1/3 of oesophagus, receives chemo Radiotherapy and dysphagia shows complete response. What is the next step in management?

A patient with carcinoma lower 1/3 of oesophagus, receives chemo Radiotherapy and dysphagia shows complete response. What is the next step in management?

Reassure

Follow with CT scan every 6 months

Esophagectomy

EUS to look for residual disease

Question Category:

Surgery

Correct Answer:

Esophagectomy

Description:

- Clinical trials and meta-analyses have shown that a C + surgery regimen could significantly improve the survival of locally advanced esophageal carcinoma patients compared to surgery alone - Endoscopic biopsy, endoscopic ultrasonography, MRI (at various sequences) and PET-CT all had shocomings for evaluating cCR and the therapeutic effect of cCR (concurrent chemoradiation) and nC (Neoadjuvant chemoradiation therapy)

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