Doctor insights on:
Nursing Diagnosis For Esophageal Cancer
How much time for esophageal cancer to narrow tube to 6mm with breathing issues? My father gone 2 months after diagnosis. How long did he have tumor?
Can be quick:
Depends on level involved
depends on which type of cancer
these are very sneaky! And do not present early in their growth.
By the time symptoms, they are advanced, spread to adjoining bronchus, nodes, and metastasize.
Sorry, terrible disease with short survival even when caught. ...Read more
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
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
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
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
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
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
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
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
Infection: It is more likely an infection in the sinuses or airways. See your md to further evaluate. ...Read more
If localized: If it is detected early enough, then it is possibly curable with endoscopic resection or surgical removal. ...Read more
After surgery: After an esophagectomy, or removal of the esophagus for cancer, your ability to eat large meals will be diminished. You will need to eat 6 small meals a day intead of 3 large meals. You might lose your appetitie, so it is important to do scheduled eating to maintain your weight. Also you will need to avoid certain foods. Http://www. Ucdmc. Ucdavis. Edu/surgery/specialties/cardio/esophagus. Html. ...Read more
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