The palliative effect of treatment stands in the first place in radiation therapy of the esophageal carcinoma. Clinical and roentgenolocical features before and after radiation therapy are reported for 172 patients having been treated under high-voltage conditions between 1962 and 1977. The response of the tumor to irradiation is largely dependent on the tumor shape as visible in the radiograph. In case of tumors growing in polypous shape, often a regression of the tumor is observed even after low doses. An effect beginning later but frequently lasting for a longer time is found with tumors of circular stenosing and diffusely infiltrating growth. All in all a temporary dilatation of the tumor stenosis was achieved in 52% of the patients. Serious side effects of the radiation treatment rarely were observed.
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