Doctor insights on:
How Can I Tell Whether I Have Esophagitis Or Esophageal Cancer
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
How likely would it be to hav esophageal cancer only 8 months after an egd that showed mild chronic esophagitis?
Low likelyhood: The period of time is probably too short to develop even premalignant conditions in the epithelium of the esophagus. However, if you have symptoms that concern you, discuss this with your primary care provider or with the gastroenterologist who did the procedure. Do you have chest pain, post-meal pain, hoarseness, bitter taste, sore throat, difficulty swallowing. Could be reflux disease. ...Read more
Is it possible to have esophageal cancer 8 months after a egd that showed only mild chronic esophagitis cause by reflux?
Possible, unlikely: The cancer type of the esophagus that occurs with reflux is adenocarcinoma. Esophageal adenocarinoma usually in a setting of gerd and barrets esophagus, age 60's, m>f. If your prior endoscopy did not show barrets or dysplasia 8 months ago, it is unlikely. However, best to have further evaluation from your gastroenterologist. Best wishes. ...Read more
How can you tell the difference between hiatal hernia/gerd symptoms and esophageal cancer symptoms?
S I've been feeling like food is getting stuck in my esophagus. I am panicking that it is esophageal cancer. Is this likely?
Probably not, but: By age, unless there is some family or ethnic history (eg. You were not born and raised in wi), highly improbable. But you should have it evaluated. A barium swallow or esophagoscopy will help diagnose this condition. Talk to your primary care or a gastroenterologist. ...Read more
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
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
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
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
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
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. ...Read more
Lifestyle change: For adenocarcinoma make changes that reduce acid reflux, such as lose weight, eliminate foods that worsen acid reflux, and enter am endoscopy program if appropriate. For squamous cell, stop smoking and drinking alcohol, and enter an endoscopy program if have history of achalasia or chagas disease. ...Read more
Aggressively: Treatment depends upon stage and often includes multi-modality therapy (chemotherapy, radiation, and surgery). The therapies and the surgery can be challenging and therefore decisions need to incorporate the patient's preferences and their ability to tolerate the various treatments. In a 21 yo who is otherwise healthy, it seem reasonable to be aggressive with treatment. ...Read more
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
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