Treating Esophageal Cancer

I was very interested to read about your patient Bill who survived 27 years after you operated on his oesophagus. You mentioned that you used unconventional theraphy combined with Chemo and radiotheraphy.  I have been diagnosed with Oesophagus cancer and am seeing the oncologist tomorrow to get my PET scan results and I would like to know how your treatment varies than the norm that a oncologist would use.

Hi JG,

It has been a long time since I have talked about my patients! If you followed the links you have read the scientific analysis of my approach to treatment for adenocarcinoma:

If the tumor size is <5 cm, this was the treatment:

  1. Resection, followed by
  2. Chemotherapy w/i 6wks after surgery followed by 
  3. Radiation therapy

All my patients except one had lymph nodes involved with cancer and it didn't prove to be a risk factor. Long-term overall survival 40% (65% @ 10 years for a specific sub group). I have not seen these results duplicated with any other treatment plan since I last reviewed this in 2010.

For larger tumors the prognosis is not so good and I'd recommend preoperative chemo-radiation therapy followed by a resection if possible:

The only way I could convince the oncologists to treat my patients this way, was because I referred them (they were my patients). I had a major problem with the fact the chemo was always different from one patient to the next and therefore meaningful comparisons impossible.

The result: I had many long term survivors (cures) - even with advanced cancers and I strongly believe this was a direct result of this approach.

Hope this helps,

Dr T


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