Now we come to the treatment for the metastatic disease, that is, the disease which has spread to the other organs.
In this figure, it has spread to the lungs. And here, it has spread to the liver. It may also spread to the bones.
In all these cases of metastatic disease, chemotherapy is the treatment of choice.
But other modalities like surgery, radiation therapy or bone-directed therapy may be used for palliation and relief of symptoms.
Always remember that the treatment for metastatic disease is not generally curative, so the intent of the treatment is prolongation of life, reduction of symptoms and improvement in the quality of life of the patient.
So this completes the treatment for esophageal cancer.
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