Digestive Sys. Esophagus cancer Flashcards

1
Q

Esophagus anatomy (4)

A
  • Esophagus
  • Stomach
  • Small intestines/bowel
  • Large intestine/bowel
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2
Q

Esophagus acessory organs (3)

A
  • Liver
  • Gallbladder
  • Pancreas
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3
Q

Esophagus cancer commonly diagnosed between ages

A

55 - 88

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4
Q

Esophagus cancer 5 year survival %

A

20%

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5
Q

Esophagus cancer risk factors (5)

A
  • excessive alcohol
  • tabaco use
  • Barretts esophagus
  • Low fruit and vegetable intake
  • Obesity
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6
Q

Esophagus cancer most tumors occure in the (part of esophagus)

A

Middle third/mid thoracic

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7
Q

Esophagus cancer Clincal presentation (3)

A
  • Dysphagia (90%)
  • Odynophagia (50%)
  • Pressure/burning
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8
Q

Esophagus Advanced tumor symptoms (4)

A
  • Hematemsis (throwing up blood)
  • Coughing
  • Hemoptysis (coughing blood)
  • Hoarseness
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9
Q

Esophagus cancer detection methods (7)

A
  • chest x-ray
  • Barium swallow
  • CT of chest
  • Esopgagoscopy
  • EUS (endoscopic ultrasound)
  • Bronchoscopy (upper 2/3)
  • PET
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10
Q

Esophageal cancer treatments (4)

A
  • Esophagectomy
  • Chemotherapy
  • Chemoradio therapy
  • Rad therapy
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11
Q

Esophageal cancer what is the dose limiting structure?

A

Spinal cord

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12
Q

Esophageal cancer what does dose depend on?

A

Pallative vs preoperative vs nonsurgical

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13
Q

Esophageal cancer why may dose be
- higher
- lower

A
  • Unable to have surgery
  • Palliation
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14
Q

Esophagus cancer side rad effects (5)

A
  • Esophagitis (2 weeks)
  • Nausea/vomiting
  • Decreased blood counts
  • Pericarditis
  • radiation pneumonitis
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15
Q

Esophagus long term side effects (2)

A
  • Stenosis
  • Stricture of esophagus
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16
Q

Rad treatment set up (5)

A

-upper vaclok
-wingboard
-timo
-knee wedge
-arms up

17
Q

**Simulation setup: esophageal cancer (3)

A

-Gating depends
-pudding type contrast
-IV contrast for lymph node involvement

18
Q

**Organs at risk: esophageal cancer (5)

A

-Spinal cord
-Trachea
-Lungs
-Heart
-Liver