esophageal cancer

Question 1

EUS layers for esophageal cancer

Answer 1

1) hyperechoic: lumen and mucosa
2) hypoechoic: deep mucosa
3) hyperechoic: submucosa
4) hypoechoic: muscularis
5) hyperechoic: adventitia

Question 2

T1for esophageal cancer

Answer 2

EUS layers 1-3

Question 3

T2for esophageal cancer

Answer 3

EUS layer 4

Question 4

T3for esophageal cancer

Answer 4

EUS layer 5

Question 5

T4for esophageal cancer

Answer 5

CT with fat plane obliteration

Question 6

Cervical or celiac nodes positive for esophageal cancer

Answer 6

Metatstatic

Question 7

Treatment for T1 esophageal CA

Answer 7

EMR

Question 8

What rate for nodal positive T1b esophageal CA

Answer 8

25-40%

Question 9

Pros for transhiatal

Answer 9

less morbidity than thoracotomy

Question 10

cons for transhiatal

Answer 10

RLN, strictures and leak higher

Question 11

Pros for ivor-lewis

Answer 11

2 field node dissection, lowerleak rates

Question 12

when to use neoadjuvant chemo for esophageal ca

Answer 12

advanced locoregional disease

Question 13

role for neoadjuvant RT for esophageal ca

Answer 13

none

Question 14

adjvant ca for esophageal ca

Answer 14

only if M1, aggresive histology