Treatment Modality for Upper GI Cancer

The following statement is related to the treatment of esophageal cancer.

• Herceptin is one of the treatment modalities

• The most common surgery is esophagectomy

• Chemoradiotherapy is suggested as a first treatment

• Nutritional support is the only treatment use for palliation

A patient with esophageal cancer was told by the doctor that he is not suitable for oesophagectomy. This is because

• the tumor have invades the trachea

• evidence of lymph node involvement

• the cancer has metastasis to distant organ

• chemotherapy is the best curative treatment

Treatment modalities for stage IV stomach cancer include

• total gastrectomy

• radiotherapy to relief symptoms

• targeted therapy by giving herceptin

• palliative chemotherapy to improve patient’s quality of life

Trastuzumab (Herceptin) is one of the treatment for esophageal cancer treatment because it

• can stop angiogenesis

• increase cure rate if use along with radiation therapy

• is indicated in metastatic esophageal adenocarcinoma

• use in recurrent gastroesophageal cancer with positive HER2

Treatment of choice for locally advanced esophageal cancer (T₃N₁M_O) is

• surgery

• chemoradiation

• adjuvant radiotherapy

• neoadjuvant chemotherapy

A patient diagnose with stage IIA (T₂N₁M₀) gastric cancer can be treated with

• chemotherapy

• targeted therapy

• radiotherapy

• partial gastrectomy

The aims of palliative therapy for esophageal cancer patient is to

• cure the cancer

• inhibit the cancer growth

• treat the swallowing problem

• improve patient’s quality of life

The purpose of endoscopic palliation for advanced stage oesophageal cancer is to

• overcome dysphagia

• have good quality of life

• avoid surgical procedure

• improve nutritional intake

Contraindication of oesophagectomy is

• the tumor have invades the trachea

• evidence of lymph node involvement

• the cancer has metastasis to distant organ

• chemotherapy is the best curative treatment

Treatment modalities for stage II stomach cancer is

• radiotherapy

• total gastrectomy

• neoadjuvant chemotherapy

• targeted therapy