Esophageal Cancer Flashcards
1
Q
Barrett’s esophagus
A
- columnar epithelium replaces squamous epithelium in the distal esophagus
2
Q
geographical regions with high incidences of esophageal cancer
A
- South Africa and middle of Asia
3
Q
risk factors for esophageal cancer
A
- cigarette smoking
- alcoholism
- nutritional deficiencies
- carcinogens
- endemic microorganisms
- regional practices
- soil salinity
4
Q
predisposing conditions for squamous cell carcinoma
A
- achalasia
- celiac sprue
- lye stricture
- Plummer-Vinson syndrome
- head and neck cancer
- tylosis
5
Q
predisposing conditions for adenocarcinoma
A
- Barrett’s
6
Q
racial differences for squamous cell vs adenocarcinoma
A
- blacks get squamous cell
- whites get adenocarcinoma
7
Q
test of choice if a patient has dysphagia
A
- barium esophagram followed by a scope
8
Q
test of choice if a patient has odynophagia
A
- straight to a scope
9
Q
treatment of esophageal cancer
A
- surgery is only cure
- rest is palliative care (stenting)