Monday 10 November 2014

Oesophageal Cancer - New Standard of Care

The standard therapy of offering patients Cisplatin with 5Fluorouracil with Radiotherapy has been around for a long time. Has worked well over time, but not well enough.

The recent CROSS study has proven that Carboplatin and Paclitaxel with Radiotherapy (neoadjuvant or definitive) is the new standard of care. It is much more effective for squamous cell cancers as compared to adenocarcinomas (but works well in both conditions).

This regimen is well tolerated and most patients complete therapy. I have now changed my clinical practice and use this regimen as the default.

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