Primary Surgical Therapy

​Added 06 March 2013

Phase III evidence supports the initiation of chemotherapy, radiation or both pre-operatively which is preferable to post-operative therapy. 
  • Early referral to a thoracic surgeon, medical and radiation oncologist is strongly recommended to plan optimal therapy. 
  • Esophagectomy: transhiatal or transthoracic
  • For those ​with cancer of the esophagogastric junction where a 'gastric pull-up' procedure is anticipated, referral to the BC Cancer at the time of diagnosis is recommended for consideration of preoperative treatment.