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A member asked:

can esophageal cancer spread to supraclavicular lymph nodes without causing any symptoms?

4 doctor answers12 doctors weighed in
Dr. Arthur Heller
Gastroenterology 43 years experience
Sadly yes: Esophagus is a muscular tube that can stretch, so often no symptoms until it can't . Also has no outer membrane surrounding it so easier to spread outside the organ itself.
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.
Dr. Lawrence Hochman
Radiation Oncology 31 years experience
Yes: Esophageal cancer can go unnoticed for a while. I have seen patients present with very advanced disease without a long course of symptoms. Supraclavicular lymph nodes without a clear explanation need to be evaluated carefully. A number of tumors can spread to the supraclavicular nodes including lung, esophagus, stomach and ovarian cancers.
Dr. David Cooke
Thoracic Surgery 22 years experience
Yes: The symptom is the inability to swallow food or liquid comfortably. Esophageal cancer is generally circumferential, like a doughnut. The hole or the lumen becomes smaller as the cancer grows, making it difficult for food and then liquid to pass through. However, that hole can be as small as 6mm in diameter before symptoms appear. So esophageal ca often has no symptoms.

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What are the symptoms of penile cancer?

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Dr. Moez Khorsandi
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Usually none: Penile cancer is usually asymptomatic (ie, no symptoms). It may look ulcerated and have discharge, but there is usually no pain associated with it. There may be bleeding from the tumor or look dry and without discharge.
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What is the difference in the various stages of colon cancer?

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Survival, but.....: Used to be, the short answer was simply survival risk with stage 1 having the best prognosis and stage IV the worst. While stages 1/2 still have the highest survival rates but improved surgical techniques and chemotherapy and i'd add lifestyle changes, have leveled the playing field greatly. Colon cancer, even advanced is often quite treatable.
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Is provenge (sipuleucel-t) the leading treatment of prostate cancer?

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Dr. Anthony Back
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It's only for some: Provenge (sipuleucel-t) is used in a very specific clinical situation with prostate cancer--definitely not indicated for everyone. The best treatment depends on the stage and grade of the cancer.
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It is a complicated and very expensive treatment that has a small benefit for a very small group of patients. Most oncologist nationally use it very infrequently
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A 29-year-old member asked:

Blood out of the mouth mean you have cancer?

1 doctor answer2 doctors weighed in
Dr. Gurmukh Singh
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Not necessarily: Periodontal disease is a more likely cause. However, bleeding anywhere is a cause for concern and you should consult you doctor for an examination and evaluation.
A 40-year-old member asked:

If i've been using smokeless tobacco for two years, how can I tell if I will get oral cancer?

1 doctor answer3 doctors weighed in
Dr. James Beck
Dentistry 11 years experience
High risk: Smokeless tobacco greatly increases your chances of oral cancer. If you drink alcohol with it, the risk is even greater. You will inevitably get some form of oral pathology if you continue to use smokeless tobacco. Please stop immediately.

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Last updated Feb 17, 2019

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