Doctor insights on:
Where Does Esophageal Cancer Spread To
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
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
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
Dad was diagnosed with esophageal cancer, it's been a month since his symptoms started & his biopsy, he can only drink liquids. How quickly will the tumor spread? Days? Weeks? Months?
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 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
Squamous cell carcinoma esophageal cancer prsently spreaded in wind pipe 25mm distance of heart the tumer growth is 11cm is now any chnces of cure.?
Always: There's always a chance. Discuss these issues with your doctor. ...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
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
Two major types: The most common in this country is adenocarcinoma. The second most common is squamous cell carcinoma. There are other very rare types such as melanoma, lymphoma and small cell. Also, esophageal cancer is categorized by location, i.e. Bottom third, middle third and upper third of the esophagus. The majority in this country are in the lower third. ...Read more
IV: There are 4 stages for esophageal cancer, with a and b substages. We use roman numerals. For stages I - iia, the treatment is the physically fit patient is surgery or esophagectomy. For stages iib and III the treatment is chemotherapy and radiotherapy, followed by surgery, or in patients who do not want surgery, chemoradiotherapy alone. For stage IV treatment is chemotherapy +/- radiation. ...Read more
Coughing in esophageal cancer is usually caused by airway (aka bronchus or wind pipe) irritation, most commonly by:
1. Aspiration (saliva and/or food going into the airway) due to obstruction of the esophagus by tumor
2. A large tumor pushing on or growing into the airway. ...Read more
On what stage it's found at. Earlier stages that don't show any spread of the cancer can be cured with surgery. Once the cancer has spread, the prognosis worsens. When it has spread to other organs, the chance for cure becomes very low with chemoradiation alone.
5 year survival rates for those without spread is about 37%. If it has spread to the lymph nodes, 18%. To other organ, 3%. ...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
Depends on type: For adenocarcinoma, the risk factors are mainly acid reflux, leading to barrett's metaplasia, and being male. The risk factors for squamous cell carcinoma include smoking, alcohol, radiation exposure, other head and neck cancers, caustic ingestion, a condition called achalasia, eating foods with nitrates, and conditions called chaga's disease and tylosis. ...Read more
Stage specific: Early stage tumors portend better survival.Get a more detailed answer ›
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