Oesophageal Cancer Flashcards Preview

Gastrointestinal Diseases > Oesophageal Cancer > Flashcards

Flashcards in Oesophageal Cancer Deck (8)
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1
Q

what is the benign tumours

A

squamous papilloma

2
Q

what is malignant

A

squamous cell carcinoma and adenocarcinoma

3
Q

characteristics of squamous cell

A

commoner in eastern males, 40% occurs in middle oesophagus, 15% in upper third

4
Q

characteristics of adenocarcinoma

A

commoner in caucasians, mostly in lower third of oesophagus (reflux abuse greatest here)

5
Q

what are symptoms

A
progressive dysphagia 
chest pain 
weight loss (loss of appetite)
hoarse voice 
metastaes - direct invasion / lymphatic / vascular
6
Q

how to diagnose

A

endoscopy (all new dysphagia >55)
mucosal abnormality mandates at least 6 biopsies
thorax/abdomen CT for staging (PET for distal node disease)
barium swallow
ultrasound (regional nodal disease)

7
Q

treatment for squamous cell

A

localised SCC treated with radical chemoradiotherapy

no surgery

8
Q

treatment for adenocarcinoma

A

if Tis or T1a - endoscopic resection

is no evidence of metastases and no comorbidities - oesophagectomy +/- chemotherapy