Digestive Sys. Esophagus cancer Flashcards
Esophagus anatomy (4)
- Esophagus
- Stomach
- Small intestines/bowel
- Large intestine/bowel
Esophagus acessory organs (3)
- Liver
- Gallbladder
- Pancreas
Esophagus cancer commonly diagnosed between ages
55 - 88
Esophagus cancer 5 year survival %
20%
Esophagus cancer risk factors (5)
- excessive alcohol
- tabaco use
- Barretts esophagus
- Low fruit and vegetable intake
- Obesity
Esophagus cancer most tumors occure in the (part of esophagus)
Middle third/mid thoracic
Esophagus cancer Clincal presentation (3)
- Dysphagia (90%)
- Odynophagia (50%)
- Pressure/burning
Esophagus Advanced tumor symptoms (4)
- Hematemsis (throwing up blood)
- Coughing
- Hemoptysis (coughing blood)
- Hoarseness
Esophagus cancer detection methods (7)
- chest x-ray
- Barium swallow
- CT of chest
- Esopgagoscopy
- EUS (endoscopic ultrasound)
- Bronchoscopy (upper 2/3)
- PET
Esophageal cancer treatments (4)
- Esophagectomy
- Chemotherapy
- Chemoradio therapy
- Rad therapy
Esophageal cancer what is the dose limiting structure?
Spinal cord
Esophageal cancer what does dose depend on?
Pallative vs preoperative vs nonsurgical
Esophageal cancer why may dose be
- higher
- lower
- Unable to have surgery
- Palliation
Esophagus cancer side rad effects (5)
- Esophagitis (2 weeks)
- Nausea/vomiting
- Decreased blood counts
- Pericarditis
- radiation pneumonitis
Esophagus long term side effects (2)
- Stenosis
- Stricture of esophagus
Rad treatment set up (5)
-upper vaclok
-wingboard
-timo
-knee wedge
-arms up
**Simulation setup: esophageal cancer (3)
-Gating depends
-pudding type contrast
-IV contrast for lymph node involvement
**Organs at risk: esophageal cancer (5)
-Spinal cord
-Trachea
-Lungs
-Heart
-Liver
