Oesophageal Cancers Flashcards
What are the two types of Oesophageal cancers
Adenocarcinoma
Squamous Cell Carcinoma
Adenocarcinoma affects what part of the oesophagus
Lower 1/3 of esophagus
Malignancy of the upper 2/3 of oesophagus is typically what
Squamous cell carcinoma
-SMOKING AND ALCOHOL ASS.
What is the ALARMS Presentation of Oesophageal cancers
Anaemia Lost weight Anorexic Recent Sx Meleana/Haematemesis Swallowing difficulty
What is the difference between progressive and non progressive swallowing difficulty
Progressive = get worse
Non Progressive = Achalasia
What is Achalasia
Inability to swallow due to dysfunction Sphincter
What is the Gold standard diagnostic tool for Oesophageal cancers
OGD w/Biopsy (Barium swallow)
What staging tool is used for Oesophageal cancers
CT and PET
What is the treatment used in Oesophageal cancers
CHEMO/RADIO and surgery
EOL? Palliative
What are the symptoms of Achalasia
Non Progressive Dysphagia
Substernal pain
+/- Food regurgitation/Pneumonia
What investigations are used for Achalsia
Barium Swallow = Bird Beak
Manometry (Meaures LOS pressure)
What treatment is used for Achalasia
Balloon stenting
w/ Nitrates/ Nifedipine
What is a complication of Achalasia
Squamous cell lung cancer
