Oesophageal cancer Flashcards

1
Q

Types of cancer?

A
  • squamous cell carcinoma
  • adenocarcinoma
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2
Q

Risk factors?

A

For SCC:

  • alcohol & smoking

For Adenocarcinoma:

  • Barrett’s Oesophagus, obesity
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3
Q

Location?

A
  • SCC–> mostly proximal and middle third of oesophagus
  • Adenocarcinoma–> distal oesophagus
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4
Q

Presentation?

A
  • PROGRESSIVE dysphagia
  • odynophagia
  • haematemesis
  • weight loss/anorexia
  • chest pain
  • cough
  • pneumonia
  • vocal cord paralysis
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5
Q

Tests?

A
  • Diagnosis: endoscopy + biopsy
  • Staging: CT
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6
Q

Spread?

A
  • blood –> liver
  • regional lymph nodes
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7
Q

Treatment?

A
  • curative–> oesophagectomy +/- adjuvant/neo adjuvant chemotherapy
  • palliative–> endoscopic stent / laser
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