Oesophageal Cancer

Question 1

Where are squamous cell carcinomas located?

Answer 1

Proximal and middle third of oesophagus

Question 2

Where are adenocarcinomas located?

Answer 2

Distal third of oesophagus

Question 3

In Western Europe and USA which carcinoma is more common?

Answer 3

Adenocarcinoma

Question 4

In the rest of the world which carcinoma is more common?

Answer 4

Squamous cell carcinoma

Question 5

What are the 2 main symptoms of oesophageal cancer?

Answer 5

Dysphagia
Weight loss

Question 6

What are the risk factors?

Answer 6

Adenocarcinoma: Obesity, Barrett’s oesophagus
Squamous cell carcinoma: Smoking, Alcohol, Low socio-economic status

Question 7

What is the surgical treatment?

Answer 7

Esophagectomy with chemotherapy

Question 8

What are the approaches and possible conduits for esophagectomy?

Answer 8

Ivor Lewis, Trans-hiatal, Left thoraco-abdominal
Stomach is gold standard conduit

Question 9

What is the palliative treatment?

Answer 9

Stent insertion
Laser use
Nutritional support
Chemoradiotherapy