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Swallowing Difficulty and Pain 213 Unresectable esophageal cancer (Stage IV) Palliative strategies If available, entry into clinical trial Chemotherapy if: a) no dysphagia b) poor operative candidate c) locally advanced d) metastatic disease e) good performance status Endoscopic stent Laser ablation Photodynamic therapy Radiotherapy: 3000 cGy 5-FU radiosensitizer Palliative esophagectomy if: a) dysphagia b) good performance status c) locally resectable Algorithm 12.

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0 2 4 6 8 10 12 14 16 Time (s) μVolts List of Contributors Fawaz Ahmad Department of Neurology The University of Chicago Chicago, IL Mosciw. USA P aul Bressloff Department of Mat hematics University of Utah Salt Lake City, UT 84112 USA bressloffmath.

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