The pitfalls and complications of radiation therapy for esophageal carcinoma

Radiation therapy is an important part of the management of esophageal cancer. Effective radiation therapy, however, requires careful evaluation of the tumor and the patient, cognizance of the tolerance of normal tissues in the area to the type of chemotherapy or surgical procedure employed, detailed planning, and streamlined delivery. When combining radiation therapy with other modalities of cancer treatment, physicians of both disciplines must be aware of the ability of one modality to potentiate the toxicity of the other. Therapy prescribed with the intention to cure and achieve long-term survival must be planned with consideration for the quality of life of the patient.