L2: Cancer Esophagus Flashcards
Length of Esophagus
Site of Cardio-esophageal junction
def of Collar of Helvitius
Site of Collar of Helvitius
Physiological constrictionof esophagus
Arterial Supply of cervical esophagus
Arterial Supply of upper thoracic esophagus
Arterial Supply of mid & Lower thoracic esophagus
Arterial Supply of lower esophagus
Notes of Arterial Supply of esophagus
Venous drainage of Esophagus
Lymphatic Drainage of Lower Esophagus
Lymphatic Drainage of Middle Esophagus
Lymphatic Drainage of Lower Esophagus
Nerve supply of Esophagus
Key Points in surgical anatomy of esophagus
Upper esophageal sphinchter
- Key Points in surgical anatomy of esophagus
Lower Esophageal Sphinchter
- Key Points in surgical anatomy of esophagus
Esophageal Mucosa
- Key Points in surgical anatomy of esophagus
No serosa & mesentry
- Key Points in surgical anatomy of esophagus
Helicoidal Muscle
- Key Points in surgical anatomy of esophagus
Segmental arterial supply
- Key Points in surgical anatomy of esophagus
Veins in lower end of esophagus
- Key Points in surgical anatomy of esophagus
Azygous vein crossing esophagus in thorax
- Key Points in surgical anatomy of esophagus
Mucasal & submucasal lymphatics
- Key Points in surgical anatomy of esophagus
Histology of muscle layers of esophagus
Histology of mucosa of esophagus
Clinically significant motility disorders …….. (smooth muscle) of esophagus
affect lower two-thirds
Incidence of Benign Esophageal Tumors
Types of Benign Esophageal Tumors
Incidence of Leiomyoma
Dx of Leiomyoma
TTT of Leiomyoma
Incidence of Carcinoma of the Esophagus
Ages affected by Carcinoma of the Esophagus
Genders affected of Carcinoma of the Esophagus
Site of Carcinoma of the Esophagus
Precancerous/predisposing conditions of Cancer Esophagus
Carcinogens in Cancer Esophagus
Factors for squamous cell carcinoma
Factors for adenocarcinoma
Sites of Cancer Esophagus
Types of Cancer Esophagus
Local Spread of Cancer Esophagus
Types of Squamous cell carcinoma
Spread of Cancer Esophagus
Lymphatic Spread of Cancer Esophagus
Blood Spread of Cancer Esophagus
Trandperitoneal Spread of Cancer Esophagus
Palpable ……. indicate advanced disease.
left supraclavicular nodes (Troisier’s sign)
Factors responsible for early spread & aggressive behavior of carcinoma esophagus
Complications of Cancer Esophagus
CP of Cancer Esophagus
Dysphagia of Cancer Esophagus
Investigations for Cancer Esophagus
Lab investigations for Cancer Esophagus
Radiological investigation for Cancer Esophagus
Abdominal US in Cancer Esophagus
Barium Swallow in Cancer Esophagus
Chest X-Ray in Cancer Esophagus
Chest CT in Cancer Esophagus
Use of endoscope in Cancer Esophagus
Finding of endoscope in Cancer Esophagus
Chromoendoscopy in Cancer Esophagus
Bronchoscopy in Cancer Esophagus
EUS in Cancer Esophagus
Basis of PET/CT in Cancer Esophagus
Importance of PET/CT in Cancer Esophagus
Thoracoscopy & laparoscopy in Cancer Esophagus
Unlikely surgical cure in the absence of systemic spread of cancer esophagus
General assessment for staging in Cancer Esophagus
TNM Staging of Cancer Esophagus
- T
TNM Staging of Cancer Esophagus
- N
TNM Staging of Cancer Esophagus
- M
General Info in TTT Cancer Esophagus
Principles of Managment of Cancer Esophagus
Palliative Managment of Cancer Esophagus
Laser Tunneling
- Palliative Managment of Cancer Esophagus
Palliative chemotherapy
- Palliative Managment of Cancer Esophagus
Tumor stenting
- Palliative Managment of Cancer Esophagus
Brachytherapy
- Palliative Managment of Cancer Esophagus
Photodynamic therapy
- Palliative Managment of Cancer Esophagus
Chemotherapeutic agent
- Palliative Managment of Cancer Esophagus
injection of absolute alcohol
- Palliative Managment of Cancer Esophagus
Procedure of Esophagectomy
Preparation of surgery of Cancer Esophagus
Standard approach of Esophagectomy
types of thoracotomy in Esophagectomy
Other approaches for esophagectomy
Additional cervical incision in esophagectomy
Procedure of Transhiatal approach (Orringer approach)
Advantages of Transhiatal approach (Orringer approach)
Disadvantages of Transhiatal approach (Orringer approach)
Types of Esophageal Replacement
Gastric pull-up procedure
Colon replacement
Pectoralis major myocutaneous flap
Free jejunal flap
Radiotherapy in cancer esophagus
Prognosis of Cancer Esophagus
Esophageal cancers have a poor prognosis because of the following reasons:
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