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Doctor Q&A for Dr. Christopher Morse

A member asked:
Dr. Christopher Morse
Thoracic Surgery 22 years experience
Unfortunately yes: Supraclavicular lymph node spread is possible with out symptoms from the primary tumor. Supraclavicular lymph node metastasis does not preclude treatment, but likely rules out surgery.
A member asked:
Dr. Christopher Morse
Thoracic Surgery 22 years experience
Regional and distant: Esophageal cancer can go to any number of lymph node basins. Important is whether they lymph node are adjacent to the tumor, or distant. Regional lymph node spread may be treatable with a combination of chemotherapy, radiation and surgery.
A member asked:
Dr. Christopher Morse
Thoracic Surgery 22 years experience
Variable: Cancer of the esophagus is more common in men than women. Mean age of presentation is 60 years of age although anyone with symptoms (significant gerd, difficulty swallowing) should seek evaluation.
A member asked:
Dr. Christopher Morse
Thoracic Surgery 22 years experience
Yes: Frequent heartburn and trouble swallowing are common symptoms of gerd (gastroesophageal reflux disease) which can lead to barrett's esophagus. Repeat exposure to acid can result in damage to the esophagus and produce precancerous cells. Difficulty swallowing is a concerning finding and should be addressed with a barium study or egd.
Dr. Christopher Morse agreed with the answer
A member asked:

Dr. Joseph Woods
Pathology 28 years experience
At first, yes.: This cancer may be unnoticable until it is fairly advanced. Dysphagia, or inability to swallow solid foods, may be easily overlooked at first. It gets noticed when it gets worse for solids and then liquids. Pain or odynophagia, hoarseness, and pulmonary aspiration can also occur. Double contrast barium swallow is a good screening test, while flexible esopagogastroscopy is the best.
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