Carcinoma Oesophagus Treated By External Radiation And Intraluminal Therapy-A Case Discussion

A confirmed case of carcinoma of the middle third of the oesophagus was treated by external radiation by parallel opposed fields to the dose of 3500 cGy/3 weeks/15 fractions. Three weeks later the patient was given intraluminal irradiation by using the Selectron bougie and was treated by Selectron HDR 60co to a dose of 1200 cGy 0.5 cms from the surface of the applicator. Patient was subsequently kept only on follow up. Till the last follow up, 18 months after start of treatment the patient continues to be asymptomatic. The methodology and dosimetric considerations are discussed.