Debulking of the tumor. Palliative treatment with high power setting of argonplasma coagulator APC. The image and the video clip shows the APC catheter, The APC probe produces a plasma arc that destroys tissue to a depth of approximately 2 to 3 mm. Palliation is the only realistic therapeutic option for these patients. Available palliative treatment modalities include chemotherapy, radiation therapy, esophageal dilation, multipolar electrocoagulation, laser treatment, injection of sclerosing agents, photodynamic therapy, and esophageal endoprostheses.
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