title: An Unusual Course of Metastatic Gastroesophageal Cancer.
abstract: We are reporting on a case of a 41-year-old woman who presented with metastatic gastroesophageal junction cancer and who achieved prolonged survival with a multimodal treatment approach. After initially experiencing robust response to chemotherapy, she was treated for distant recurrence with palliative radiation to the gastrohepatic and supraclavicular lymph nodes and subsequently, given her unusual near-complete response, with reirradiation to the abdomen with curative intent for residual disease. The case presented is unique due to the patient's atypical treatment course, including technically difficult reirradiation to the abdomen, and the resulting prolonged survival despite metastatic presentation.
authors.affiliation: Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
authors.forename: William H
authors.initials: WH
authors.lastname: Smith
authors.affiliation: Department of Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.
authors.forename: Sofya
authors.initials: S
authors.lastname: Pintova
authors.affiliation: Department of Gastroenterology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: DiMaio
authors.affiliation: Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Manolas
authors.affiliation: Department of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.
authors.forename: Dong-Seok
authors.initials: DS
authors.lastname: Lee
authors.affiliation: Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.
authors.forename: Spiros P
authors.initials: SP
authors.lastname: Hiotis
authors.affiliation: Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Kartsonis
authors.affiliation: Department of Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.
authors.forename: Randall F
authors.initials: RF
authors.lastname: Holcombe
authors.affiliation: Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.
authors.forename: Kavita V
authors.initials: KV
authors.lastname: Dharmarajan