2- tumours of oesophagus & stomach

Question 1

what are 2 main oesophageal cancers?

Answer 1

squamous cell carcinoma (mainly in east and developing countries) and adenocarcinoma (mainly seen in west)

Question 2

what can develop into adenocarcinoma?

Answer 2

barrett’s oesophagus →body trying to change in oesophagus, replacement of stratified squamous epithelium by columnar epithelium = can lead to adenocarcinoma

Question 3

what is prevention of oesophageal cancer?

Answer 3

• progressive dysphagia
• heartburn
• vomiting
• weight loss
• lethargy
• hoarse voice

Question 4

what is treatment for oesophageal cancers?

Answer 4

• treat endoscopically
• squamous responds to chemotherapy

Question 5

what are gastric cancers classified into?

Answer 5

based on location in stomach into upper gastric + lower gastric cancers - they are completely different in all aspects

Question 6

what does upper gastric cancers involve?

Answer 6

• include all cancers involving gastro-oesophageal junction + gastric cardia
• etiopathology is similar to adenocarcinoma of lower oesophagus therefore management similar too