Is surgery required as part of therapy of my localized esophageal cancer?

Most of the time: Surgery is a standard option for localized esophageal cancer. Chemotherapy and radiotherapy are used before surgery to improve the odds of completely removing all cancer. Otherwise, chemotherapy and radiotherapy are given after surgery to reduce the odds of cancer returning. If the cancer involves structures within the chest (blood vessels, windpipe, heart lining, etc.) surgery can not be done.

Usually: In the medically fit individual surgery is the standard of care for early stage esophageal cancer.

Surgeons: Wisely select who might benefit from surgery. In the eus era, all t1-t2 lesions are able to undergo surgery if they are medically fit to do so. Those that penetrate throught the muscle are in need of chemo and raiotherapy, +/- surgery. The natural history of the disease tells you what to do if you are wise enough to listen.

No..: Humans do not grow back organs that are removed. Some cells and tissues regenerate (skin, blood elements, GI tract lining) but not organs or limbs.

A 1- 1.2 cm: S'clav node is not very large or even easy to feel. Your question included "immunodeficiency", that can be code for hiv. Hiv commonly has ubiquitous nodes of this size in many locations. Knowing viral load and cd-4 counts become important in this situation, and review of meds.

Actually, night sweats are : Not specific to lymphoma, so do not be so sure. There is no "lymphoma prevention" regimen. See your doctor, get an exam, h/she will order test. Relax.

I'd be very: Enthusiastic about genetic tests if all of you had the same cancer, i.e. Familial adenomatous polyposis. If one had a sarcoma another a brain tumor, the li fraumeni syndrome might be operational...The problem is that genetic testing can be expensive, and you need to ponder what the information will do for you, your family and your children.

If you were: "constipated", hou still may have some fecal blockade. The straining can indeed cause hemorrhoids to act up. It may be best to go to the doctor and be checked than sequential: miralax/mag citrate/fleets, and then a regimen to avoid constipation: fresh fruits, dried fruits--apricots are as powerful as prunes.

Some T cell malignancy: Is curable, others less so. Mycosis fungoides/sezary syndrome, aka cutaneous t-cell lymphoma is very treatable, but unlikely to be cured. Others in nodes are not too different than b-cells. Unfortuantely there is not a rituximab, anti -cd-20 b-cell antibody equivalent for t-cells.

Anti-oxidants: And there are plenty, are dietary and nutritional supplements that purport to reduce cancer risk. These reduce free radicals, chemicals with an unpaired electron, or repair the damage that an oxidizing millieu produces. Vitamin e has thought to be in this group, and sulfhyryl molecules that sponge up free radicals. But than water solubles like elagic acids from berries and vitamin c too. Not oxygenation.

In that it always: Effects genes, either mutation or dysregulation, yes. But it may not always be genetic meaning heritable. Not all cancers are due to our genetic endowment (li fraumeni, brca -1&2, retinoblastoma gene), some by our foolish activity (smoking), others we just don't know.

Often recommended: For best survival in fit patients, surgery for stage i and iia. In stages iib and iii, standard approach is chemoradiation followed by surgery. More advanced, i.e. Stage iv, chemotherapy +/- radiation and no surgery. Best results will be with a comprehensive multidisciplinary thoracic surgical oncology team. http://goo.gl/6phtu.