Eso CA Flashcards
1
Q
2 types of espophaeal
A
- SCC - from squam epi
2. adenocarcinoma - from columnar epi
2
Q
epi
A
- uncommon
- male>femal
- > 60
- regional
3
Q
how is epi changing
A
SSC on decline
adeno on the rise
4
Q
location and precursor to adeno
A
location: distal
precursor: barrets
5
Q
location and precursor to SCC
A
location: mid
precursor: squamous dysplasia
6
Q
what is morpho of 2 types
A
SCC- solid with no glands
adeno - look for glandular spaces
7
Q
what is target for screening
A
barretts
8
Q
SCC risk factors
A
- alc
- smoking
- low SES
- male
- AA
- diet
- past HandN CA
9
Q
Adeno risk factors
A
- reflux
- barrets
- older
4, male - obese
- smoker
- white
10
Q
clinical features
A
- dysphagia
- odynophagia
- anorexia
- ussualy advanced when seen
11
Q
outcomes for surg
A
for local disease
- high complication rate
-
12
Q
** 3 keys to resctability
A
no
1. nodes
2, mets
3. invasion of adjacent organs
13
Q
what to do for non-resectable (2)
A
- combined chemo/rad
2. stent for palliation
14
Q
pronosis
A
resectable : node+ - 17, - 40
nonresectable: 3-5
