oesophageal carcinoma Flashcards
1
Q
most common type of oesophageal carcinoma?
A
adenocarcinoma
2
Q
where do most tumours occur?
A
middle third of the oesophagus
3
Q
achalasia increases risk of what type of oesophageal carcinoma?
A
squamous cell
4
Q
features of oesophageal carcinoma?
A
progressive dysphagia vomiting weight loss odynophagia hoarseness malaenea cough
5
Q
risk factors?
A
barrets oesophagus achalasia smoking alcohol GORD plummer vinson syndrome
6
Q
first line investigation?
A
upper endoscopy
7
Q
what other investigations are used?
A
CT for metastases/staging
endoscopic ultrasound for staging
8
Q
what is the definitive treatment for oesophageal carcinoma?
A
resection +/- adjuvant chemotherapy
9
Q
what surgical procedures are used?
A
Ivor - lewis oesophagectomy = most common
- part resected an stomach brought up into thorax and attached to new end of oesophagus
10
Q
what are the risks with oesophageal resection?
A
anastomotic leak (due to construction of oesophogastric anastomoses) leak can cause mediastinitis if in the thorax
