Oesophageal cancer Flashcards
s squamous cell tumours are most commonly found in
upper two-thirds of the oesophagus.
adenocarcinomas are located near the
gastroesophageal junction
the most common type of oesophageal cancer
Adenocarcinoma
risk factors for adenocarcinoma in oesophageal cancer ?
history of gastro-oesophageal reflux disease (GORD)
Barrett’s
smoking
obesity
Squamous cell cancer risk factors ?
smoking
alcohol
achalasia
Plummer-Vinson syndrome
diets rich in nitrosamines
features of oesophageal cancer ?
dysphagia: the most common presenting symptom
anorexia and weight loss
vomiting
other possible features include: odynophagia, hoarseness, melaena, cough
Diagnosis
Upper GI endoscopy with biopsy
Endoscopic ultrasound is the preferred method for locoregional staging
CT scanning of the chest, abdomen and pelvis is used for initial staging