What are the post-operative care guidelines for External Auditory Canal (EAC) nodal contouring surgery?

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Post-Operative Esophageal Adenocarcinoma (EAC) Nodal Contouring Guidelines

I cannot provide specific guidelines for post-operative EAC nodal contouring as the evidence provided does not contain relevant information on this topic.

Clarification of the Question

The question appears to be asking about radiation therapy target volume delineation (nodal contouring) for post-operative esophageal adenocarcinoma, which is a highly specialized radiation oncology procedure. This involves defining lymph node regions to be included in the radiation treatment field after surgical resection.

Evidence Gap

The provided evidence includes:

  • Guidelines on infective endocarditis, emergency laparotomy, cesarean delivery, refractive surgery, and general post-operative care 1
  • Head and neck cancer guidelines that discuss post-operative radiation but not esophageal cancer 1
  • Endoscopic submucosal dissection surveillance for Barrett's esophagus and early EAC, which addresses endoscopic management rather than post-operative radiation planning 1
  • General wound care and surgical site infection prevention 2, 3, 4
  • External auditory canal tumor management, which is unrelated to esophageal cancer 5, 6

What You Need

For accurate post-operative EAC nodal contouring guidelines, you should consult:

  • NCCN Guidelines for Esophageal and Esophagogastric Junction Cancers
  • RTOG (Radiation Therapy Oncology Group) consensus atlases for esophageal cancer
  • ESTRO (European Society for Radiotherapy and Oncology) guidelines for esophageal cancer target delineation
  • International consensus guidelines on clinical target volume delineation for esophageal cancer

These resources will provide specific anatomic boundaries, lymph node station definitions, and contouring recommendations based on tumor location, pathologic stage, and surgical findings.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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