Top
30
Doctor insights on: Esophageal Cancer Spread To Liver

Share
1

1
If ascites is severe enough to make lying in bed extremely uncomfortable should we go to the emergency room? Diagnosed with esophageal cancer that has spread to the abdomen. Ascites causing extreme discomfort. He took his pain meds and still cannot lay

If ascites is severe enough to make lying in bed extremely uncomfortable should we go to the emergency room? Diagnosed with esophageal cancer that has spread to the abdomen. Ascites causing extreme discomfort. He took his pain meds and still cannot lay

When: When ascites causes abdominal discomfort or pain it is generally accepted that enough fluid fluid should be removed from the abdomen for comfort.

More importantly, evaluation of the abdomen to ensure that there has not been a colon or esophageal rupture is vitally important. Evaluation for infection causing the accumulation of fluid is also part of the evaluation. The sooner the patient is diagnosed with a potential infection or rupture, the sooner treatment can begin.

Extreme discomfort to the point of not being able to lye down would be considered a medical emergency and urgent evaluation should occur. If you are unsure, someone should be on call for your oncologist. Calling them in these type of situations can be very helpful as they can direct you specifically where to go and coordinate your care. ...Read more

Dr. Barry Rosen
4,344 Doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


2

2
Late stage esophageal cancer, has mestastasized across lympth nodes, & into stage 4 liver, getting chemo now, how long can the person hopefully live?

Late stage esophageal cancer, has mestastasized across lympth nodes, & into stage 4 liver, getting chemo now, how long can the person hopefully live?

Undetermined.: One day at a time. Although statistics can inform you what happened to other people with similar problems, ultimately how long a you are expected to live is speculative and unpredictable. Ultimately, if you are alive today, you are alive today. ...Read more

3

3
My mom 79 has esophageal cancer with mets to liver. So far no symptoms, discomforts, normal life. How long she may have with or w/o treatment? Thanks.

My mom 79 has esophageal cancer with mets to liver. So far no symptoms, discomforts, normal life. How long she may have with or w/o treatment? Thanks.

Not long.: This is advanced stage because there are mets to the liver. It is therefore not resectable, so it would likely have to be treated with combination chemotherapy, radiation, and surgery. At any rate, 5 year survival in resectable disease is only about 20%, so this is likely less than that, and overall 5 year survival is about <5% due to advanced state of many cases. Try to make her comfortable. ...Read more

4

4
6 mo ago Barrett's esophagus EGD. Have pain in center abdomen.&RUQ. Could esophageal cancer been missed? 31 y/oHIDA nml, abdom u/s nml, Cbc, CMP, EGD nml

It can: Barrett need to be biopsies to rule out any dysphasia and to make sure there is no pre cancer changes so if you did have Bx then it is hard to miss. Your pain most likely secondary to esophageal spasm that will cause severe chest pain and abdominal pain. Take anti reflux medicine religiously avoid the bad food and ask for surgical referral to treat reflux ...Read more

5

5
To which lymph nodes can esophageal cancer spread?

To which lymph nodes can esophageal cancer spread?

Local and distant: The most common spread is to local nodes around the esophagus. But the spread, or metastasis can be more distant such as to nodes around the celiac plexus, the region where the blood supply to the stomach arises below the diaphragm. But distant metastasis can be to nodes in the neck, particularly associated with the lymphatic chain that drains into the subclavian vein on left behind clavicle ...Read more

6

6
Can I have another surgery if my esophageal cancer has come back and spread?

Can I have another surgery if my esophageal cancer has come back and spread?

It depends: It depends where it has recurred. Re-operative surgery for esopahgeal cancer is very complex with a lot of risk. It is not common, so if it is to be considered, it should be at a quaternary center with experience. ...Read more

7

7
Can esophageal cancer spread to supraclavicular lymph nodes without causing any symptoms?

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

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. ...Read more

10

10
Can you cure esophageal cancer?

Can you cure esophageal cancer?

It depends: Esophageal cancer can be cured if it is caught early. The prognosis depends largely on the stage of disease. Lower stage disease which is more localized is more easily cured. ...Read more

11

11
Is esophageal cancer fast growing?

Is esophageal cancer fast growing?

Probably: Depending on what you consider fast. Needs to be treated within very few weeks of diagnosis. ...Read more

12

12
How painful can esophageal cancer be?

How painful can esophageal cancer be?

Not at all, to very: Bad disease. Often no symptoms until well established. May have no heartburn. May have painful swallowing, and/or difficulty swallowing_ often progressive from solids to chopped, to liquids. Can cause pain, especially with spread. ...Read more

13

13
Symptoms of esophageal cancer common?

Symptoms of esophageal cancer common?

Difficulty and/or: Pain on swallowing, leading to weight loss. Commonly associated with tobacco and alcohol use, now prevalent in overweight individuals with reflux. ...Read more

14

14
How can you get an esophageal cancer?

How can you get an esophageal cancer?

Two types: Adenocarcinoma: caused by acid reflux
squamous cell carcinoma: caused by alcohol, smoking, previous radiation, nitrosamines, achalasia, caustic ingestion, chaga's disease, previous head and neck cancer. ...Read more

15

15
How can you develop esophageal cancer?

How can you develop esophageal cancer?

Depends on the type: Squamous cell carcinoma of the esophagus for the most part is casued by smoking, consuming alcohol, nitrosamines, such as pickled foods and smoked meats.
Adenocarcinoma is casued by acid reflux, which can lead to injury of the lining of the esophagus, causing barrett's metaplasia. Barrett's can lead to low grade, then high grade dysplasia, and finally esophageal adenocarcinoma. ...Read more

16

16
How fast-growing is esophageal cancer?

How fast-growing is esophageal cancer?

Slow or Fast: It can be slow or fast, but generally its a slow process. Esophageal cancer tends to be circumferential, like a donut. As it grows, the hole or lumen becomes smaller, and can make it diffiult for food, then liquids to pass through. The diamter of your esophagus can get as narrow as 6mm (18french) before one gets symptoms. ...Read more

17

17
What is the age range for esophageal cancer?

Older individuals: Esophageal cancer is most common after the age of 50. Smoking and alcohol intake are associated with an increased risk for esophageal cancer. ...Read more

18

18
Help please! Is esophageal cancer hereditary?

Help please! Is esophageal cancer hereditary?

Possibly: There is growing data linking some esophageal cancers to mutations in her-2-neu cell receptor (protein). Mutations in this receptor may be hereditary. ...Read more

19

19
Are there stages of advanced esophageal cancer?

Are there stages of advanced esophageal cancer?

Esophageal cancer: Like most cancers esophageal cancer staging also depends on depth of tumor, nodal involvement and metastasis. Advance stage means deeper, larger tumor, nodal involvement and presence of distant metastasis. ...Read more

20

20
What number of people survive esophageal cancer?

What number of people survive esophageal cancer?

About 40%: Esophageal Ca survival depends on type of tumor and extent of disease when defined. Transesophageal ultra sound is helpful in defining extent of tumor invasion into the wall as well as nodes. PET/CAT looks for distant spread. Pretreatment with RT and chemo followed by surgery in Stage I disease gives about 40-50% five year survival. ...Read more

21

21
What factors increases the risk of esophageal cancer?

Chronic Heartburn: Severe gastro-esophageal reflux can lead to adenocarcinoma of the esophagus. If you have severe heartburn, see your doctor so you can be screened for pre-cancerous changes of your esophagus. ...Read more

22

22
Is it possible for teenagers to get esophageal cancer?

Is it possible for teenagers to get esophageal cancer?

Yes but rare: Barrett's metaplasia is a risk factor for esophageal cancer. Anyone with barrett's should be in a endoscopic surveillance program. Other risks factors that might effect young people: achalasia, chaga's disease, scleroderma, history of caustic ingestion, lymphoma. ...Read more

23

23
What is the definition or description of: Esophageal cancer?

What is the definition or description of: Esophageal cancer?

Intraluminal mass: Lesions arising in lumen of the esophagus are considered potentially malignant until bx. As they grow they block lumen causing swallowing problems and then bleed. They occur in 3 regions, the lower third near cardia (adenoCa) of stomach most common and caused frequently by helicon bacter p. Mid esoph follows with squamous lesions and last at upper I/3. RT followed by chemo and surgery used. ...Read more

24

24
How do you prevent esophageal cancer?

Depends on type: Squamous cell carcinoma of the esophagus for the most part is casued by smoking, consuming alcohol, nitrosamines, such as pickled foods and smoked meats. Avoid or limit the above risk factors, especially smoking and excessive alcohol. Adenocarcinoma is casued by acid reflux. Diet modication and antiacids help reflux. If you have barrett's metaplasia, then you should be in an endoscopy program. ...Read more

25

25
What happens if you keep smoking with esophageal cancer?

What happens if you keep smoking with esophageal cancer?

Higher cancer risk: Mouth, tongue, throat, esophagus, lung, bladder and stomach cancers are all associated with use of tobacco. Smoking increases the risk of all these whether you have had one cancer or not. Stop smoking! Go to the american cancer society for a stop smoking class- free usually. Talk to your doctor, use hypnosis, use patches, use gum, use anything that works. Use tootsie pops like telly savalas. ...Read more

26

26
Reasons for dysphagia. Is esophageal cancer a common cause?

Yes, also others.: Progressive dysphagia is the major sign for esophageal cancer. This starts with solids, then is seen with liquids. Weight loss is also seen. Other causes for dysphagia include oropharyngeal (plummer-vinson syndrome), schatski ring, and zenker's diverticulum. These have varying degrees of dysphagia, and not all are progressive. ...Read more

27

27
I swallowed a dime, and I am wondering can I get esophageal cancer?

I swallowed a dime, and I am wondering can I get esophageal cancer?

No: Limited short term coinage exposure and dime consumption have not been demonstrated to be independent risk factors. It is important you speak with your primary care / family physician. He/she can further assess your health and provide more individualized care and guidance. Http://goo. Gl/itxx2. ...Read more

28

28
How does esophageal cancer cause back pain?

Esophageal cancer: Can cause back pain particularly if the cancer has invaded through the wall of the esophagus into surrounding nerves or chest wall muscles or bone. This is an ominous sign and should be investigated right away. Spread to bones can also occur through the blood stream, and indicates metastatic disease and not just local spread. ...Read more

29

29
What is the treatment for esophageal cancer?

Depends on stage: There are 4 stages of esophageal cancer (with a and b subtypes for some). For stage I and iia, the upfront therapy is surgery or esophagectomy. For stage iib or iii, treatment is chemoradiation followed by surgery, or definitive chemoradiation. For stage iv, the treatment is chemotherapy, + /- radiation. ...Read more

30

30
Can you get esophageal cancer by consuming alcohol?

Can you get esophageal cancer by consuming alcohol?

Yes: Alcohol is a risk factor for squamous cell carcinoma (scc) of the esophagus. In fact smoking and alcohol combined increases the risk of scc of the esophagus 44 times. ...Read more

Dr. Austina Cho
2 Doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


Dr. David Cooke
214 Doctors shared insights

Esophageal Cancer (Definition)

Lesions arising in the esophagus that are considered potentially malignant until biopsied. As they grow they cause swallowing problems and bleed. Treated ...Read more