Oesophageal cancer pt 2

Question 1

Name 3 major symptoms of oesophageal cancer?

Answer 1

1. progressive dysphagia
2. weight loss
3. retrosternal chest pain

Question 2

Symptoms of cancer is in the upper 1/3 of oesophagus?

Answer 2

1. Cough

2. Hoarseness - recurrent laryngeal nerve invasion

Question 3

Name 3 investigation?

Answer 3

1. Bloods
2. Upper GI endoscopy
3. Barium swallow
4. CT of chest

Question 4

What are the result of bloods?

Answer 4

1. FBC - anaemia

2. LFT - hepatic mets

Question 5

How is the diagnosis of oesophageal cancer made?

Answer 5

1. Upper GI endoscopy - allows biopsy
2. Barium swallow
3. CT of chest and abdomen - allows for staging

Question 6

What is main method of treatment?

Answer 6

Oesophagectomy - only allowed in early stages and only 20% is curative for tumor removal

Question 7

What is the prognosis of oesophageal cancer?

Answer 7

Poor prognosis - palliative tx is required