Oesophageal cancer Flashcards
1
Q
where do adenocarcinomas/squamous cell occur?
A
squamous cell carcinoma- upper 2/3 of oesophagus
adenocarcinoma- in lower 1/3 of oesophagus (columnar epithelium)
2
Q
what causes squamous cell carcinoma?
A
- smoking
- alcohol
- obesity
- low fruit and veg
3
Q
what is the most common type of cancer?
A
-squamous cell carcinoma
4
Q
what causes adenocarcinoma
A
- previous heart burn
- Barrett’s oesophagus
5
Q
symptoms of oesophageal cancer?
A
- dysphagia
- odynophagia (painful swallowing)
- hematamesis
- regurgitation
- hoarse voice
- weight loss
- paraneoplastic syndrome
6
Q
investigations for oesophageal cancer?
A
- endoscopy
- Ba swallow
- CT scan
7
Q
Management of oesophageal cancer?
A
- surgery is only cure
- palliative therapy often the only realistic possibility
8
Q
what are contra indications for surgery in oesophageal cancer?
A
- diret invasion of adjacent tissue structures
- fixed cervical lymph nodes
- wide spread metastasis
- poor medical condition
- T4 or M1
9
Q
name some rare sub mucosal tumours found in the oesophagus?
A
- leiomyomas
- gastrointestinal stomal tissue
