Doctor insights on:
Stage 4 Esophageal Cancer Life Expectancy
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. ...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: Unfortunately esophageal cancer is an aggressive one but if u catch it early it has a better chance of not recurring. It all depends on the primary stage of the disease. Stage I is good. Higher stages have more chances of recurring. Every cancer is unique and u should discuss your particular case prognosis with your oncologist. Good luck. ...Read more
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
Esophageal cancer: Adenocarcinoma of the esophagus is a serious and increasingly common cancer. Early forms are treated by local excision, but once it invades muscle or involves distant structures, the challenge is greater. Some clinical trials are available which might prolong life for your loved one beyond 6-12 months. Search for an NCI cancer center or academic oncology center which has access to these. ...Read more
Can somebody update me on the real life expectancy of a 78 yr old with stage IV esophageal and liver cancer?
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. ...Read more
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
Father died (esophageal cancer, 1994), brother has Barrett's (4 years) and now I have Barrett's. Meds don't help much. Should I be worried?
Barrett's esophagus could lead to cancer.
you and your brother need to be very close observation with your GI specialist. You need regular screening upper endoscopy and frequent biopsies.
you should ask for the surgical options, fundoplication is one of them, it will not reverse the Barrett's but it can stop the progression, as long as you do not have dysplasia or pre-cancer lesion, it should be good. ...Read more
Several years: No lesion begins on initial transformation. There is a premalignant state where the cells appear normal and then a transformation to dysplastic cells which eventually convert to the malignant phenotype which is in-situ. Transformation to the invasive state takes a further period of months if not longer. An invasive esophageal cancer would probably take 3-5 years to evolve and become symptomatic. ...Read more
Pain: The most common symptoms are pain, food getting caught and weight loss. If you have any of these symptoms, you should see a doctor. ...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
Yes: Possible, but highly unlikely.Get a more detailed answer ›
Sort of: Its not uncommon to have changes in short term memory, concentration and some cognitive function after major surgery. The stress of surgery diverts the body's nutrients towards healing (catabolic state or "fight or flight") as opposed to higher brain function. This is usually self limiting, and will get better the further out you are from surgery. ...Read more
Surgery: Resection with or without adjuvant radiation has had the best chances. ...Read more
Increased risk: With barrett's esophagus, you have an increased risk of developing esophageal cancer. Therefor an individual should be in a endoscipic surveillance program. If the barrett's progresses to high grade dysplasia, then the risk of cancer is so high, then the high grade dysplasia needs to be treated either with endoscopic techniques or esophagectomy. ...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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