Esophageal cancer Treatment

Posted by e-Medical PPT Friday, August 13, 2010
Esophageal cancer is malignancy of the esophagus. There are various subtypes, primarily adenocarcinoma and squamous cell cancer. Squamous cell cancer arises from the cells that line the upper part of the esophagus. Adenocarcinoma arises from glandular cells that are present at the junction of the esophagus and stomach.Esophageal tumors usually lead to difficulty swallowing, pain and other symptoms, and are diagnosed with biopsy. Small and localized tumors are treated surgically with curative intent. Larger tumors tend not to be operable and hence are treated with palliative care. In some cases chemo- and radiotherapy can render these larger tumors operable. Prognosis depends on the extent of the disease and other medical problems, but is fairly poor.
Dysphagia and odynophagia are the most common symptoms of esophageal cancer. Dysphagia is the initial symptom in most patients. Odynophagia may also be present. Fluids and soft foods are usually tolerated, while hard or bulky substances cause much more difficulty.Weight loss is characteristic as a result of poor nutrition and the active cancer. Pain, often of a burning nature, may be severe and worsened by swallowing, and can be spasmodic in character.
Although an occlusive tumor may be suspected on a barium swallow or barium meal, the diagnosis is best made with esophagogastroduodenoscopy.

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2 Responses to Esophageal cancer Treatment

  1. Judith Says:
  2. Excellent comments, there is a lot of certain in it and in findrxonline they can find articles of importance on medicine.

     
  3. drmich999 Says:
  4. that was a good topic..i have a patient he was diagnosed with esophageal carcinoma but the problem was financial. The progress of the cancer worsen and suspected it is adenocarcinoma because based on the history of the labs it was in the distal part of the esophagus. Patient came for consult because of dysphagia and I referred the patient for palliative care with a surgeon.

     

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