Doctor insights on:
Life Expectancy Esophageal Cancer
My husband has stage 3 esophageal cancer and has decided not to do chemo and radiation, what is his life expectancy? Expectancy
Depends: Predicting the future is difficult. Without treatment, it ranges from weeks to months depending on the individual. This should be discussed with your oncologist so plans can be made.See 1 more doctor answer
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
Not nice: Local growth may prevent swallowing even one's own saliva. The idea of gastric tube feeding seems a solution, but prolongs a life of suffering. Esophca can also metastasize. Weight loss, energy loss, weakness, dehydration. Palliative care and hospice help minimize suffering and focus on symptom relief.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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.
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.See 1 more doctor answer
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.
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.See 1 more doctor answer
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