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Doctor insights on: Where Does Esophageal Cancer Spread To

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To which lymph nodes can esophageal cancer spread?

To which lymph nodes can esophageal cancer spread?

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

Dr. Barry Rosen
4,344 Doctors shared insights

Cancer (Definition)

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


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Can I have another surgery if my esophageal cancer has come back and spread?

Can I have another surgery if my esophageal cancer has come back and spread?

It depends: It depends where it has recurred. Re-operative surgery for esopahgeal cancer is very complex with a lot of risk. It is not common, so if it is to be considered, it should be at a quaternary center with experience. ...Read more

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Can esophageal cancer spread to supraclavicular lymph nodes without causing any symptoms?

Can esophageal cancer spread to supraclavicular lymph nodes without causing any symptoms?

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

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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

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: 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

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What causes esophageal cancer?  

What causes esophageal cancer?  

Two types: Adenocarcinoma: caused by acid reflux or gerd. This leads to barrett's metaplasia, then low grade dysplasia, then high grade dysplasia and then cancer. Squamous cell carcinoma is caused generally by smoking and alcohol consumption which is synergistic. ...Read more

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Can you cure esophageal cancer?

Can you cure esophageal cancer?

It depends: Esophageal cancer can be cured if it is caught early. The prognosis depends largely on the stage of disease. Lower stage disease which is more localized is more easily cured. ...Read more

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How is esophageal cancer treated?

How is esophageal cancer treated?

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

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Is esophageal cancer fast growing?

Is esophageal cancer fast growing?

Probably: Depending on what you consider fast. Needs to be treated within very few weeks of diagnosis. ...Read more

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How is esophageal cancer diagnosed?

How is esophageal cancer diagnosed?

Endoscopy: Endoscopy is the gold standard for diagnosing esophageal cancer. This is a fiberoptic camera placed through the mouth directly into the esophagus. Suspicious lesions can be biopsied directly. ...Read more

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How painful can esophageal cancer be?

How painful can esophageal cancer be?

Not at all, to very: Bad disease. Often no symptoms until well established. May have no heartburn. May have painful swallowing, and/or difficulty swallowing_ often progressive from solids to chopped, to liquids. Can cause pain, especially with spread. ...Read more

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Symptoms of esophageal cancer common?

Symptoms of esophageal cancer common?

Difficulty and/or: Pain on swallowing, leading to weight loss. Commonly associated with tobacco and alcohol use, now prevalent in overweight individuals with reflux. ...Read more

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How can you get an esophageal cancer?

How can you get an esophageal cancer?

Two types: Adenocarcinoma: caused by acid reflux
squamous cell carcinoma: caused by alcohol, smoking, previous radiation, nitrosamines, achalasia, caustic ingestion, chaga's disease, previous head and neck cancer. ...Read more

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How can you develop esophageal cancer?

How can you develop esophageal cancer?

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

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How fast-growing is esophageal cancer?

How fast-growing is esophageal cancer?

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

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What are the types of esophageal cancer?

What are the types of esophageal cancer?

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

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What are the stages of esophageal cancer?

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

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Are there any cures for esophageal cancer?

Are there any cures for esophageal cancer?

Some times: Esophageal cancer is a bad disease, if detected stage o possible to have 80% to 90% 5 year survival, by stage IV 2.8 %. Only way to have good out come is to to catch it when the tumor is in the superficial part of mucosa, . ...Read more

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How does esophageal cancer cause coughing?

How does esophageal cancer cause coughing?

Airway irritation: 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
or
2. A large tumor pushing on or growing into the airway. ...Read more

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What sort of disorder is esophageal cancer?

What sort of disorder is esophageal cancer?

Cancer of lining: This is cancer of the lining of your swallowing tube or esophagus. This canne diagnosed in several ways, usually best by endoscopy. ...Read more

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What causes esophageal cancer? Who gets it?

Many factors: Factors predisposing to esophageal cancer are realated to age and sex with men over 65 at highest risk. This is followed by smokers, heavy drinking, obesity and acid reflux. At the cardioesophageal junction h.pylori plays an important role as does Baretts esophagus. ...Read more

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What are risk factors for esophageal cancer?

What are risk factors for esophageal cancer?

Two types: For adenocarcinoma, the main risk factor is acid reflux or gerd. For squamous cell carcinoma, the main risk factors are smoking and alcoholol. ...Read more

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What is the prognosis for esophageal cancer?

What is the prognosis for esophageal cancer?

Depends..: 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

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What is the age range for esophageal cancer?

Older individuals: Esophageal cancer is most common after the age of 50. Smoking and alcohol intake are associated with an increased risk for esophageal cancer. ...Read more

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Help please! Is esophageal cancer hereditary?

Help please! Is esophageal cancer hereditary?

Possibly: There is growing data linking some esophageal cancers to mutations in her-2-neu cell receptor (protein). Mutations in this receptor may be hereditary. ...Read more

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Are there stages of advanced esophageal cancer?

Are there stages of advanced esophageal cancer?

Esophageal cancer: Like most cancers esophageal cancer staging also depends on depth of tumor, nodal involvement and metastasis. Advance stage means deeper, larger tumor, nodal involvement and presence of distant metastasis. ...Read more

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What number of people survive esophageal cancer?

What number of people survive esophageal cancer?

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

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How long does it take esophageal cancer to grow?

How long does it take esophageal cancer to grow?

No clear answer: While cancer doesn't develop overnight, processes leading upto cancer can take years.
Here is a good overview on esophageal cancer

http://www. Cancer. Net/cancer-types/esophageal-cancer. ...Read more

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What are the risk factors for esophageal cancer?  

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

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How to tell if I have barrett's esophageal cancer?

Esophagoscope: And biopsy
barrett's is benign but can evolve into cancer.
Scope and biopsy and follow periodically. ...Read more

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What are the different types of esophageal cancer?  

Two main types: The two main types are adenocarcinoma (the most common, derived from barrett's metaplasia) and squamous cell carcinoma. Adenocarcinoma is caused by gastroesophageal reflux disease (gerd), and squamous cell carcinoma is generally caused by smoking and alcohol. ...Read more

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Where can people get support for esophageal cancer?

Www. Fightec. Org: There is growing awareness of this disease. One group that offers a multitude of support is the esophageal cancer education foundation. Fightec. Org. ...Read more

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What factors increases the risk of esophageal cancer?

Chronic Heartburn: Severe gastro-esophageal reflux can lead to adenocarcinoma of the esophagus. If you have severe heartburn, see your doctor so you can be screened for pre-cancerous changes of your esophagus. ...Read more

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How much pain should I expect from esophageal cancer?

Depends: Symptoms associated with esophageal carcinoma depend on location and size. If the tumor is growing into surrounding structures, it can cause pain or difficulty swallowing. Early on, there may be no symptoms at all. ...Read more

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Is it possible for teenagers to get esophageal cancer?

Is it possible for teenagers to get esophageal cancer?

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. ...Read more

Dr. David Cooke
214 Doctors shared insights

Esophageal Cancer (Definition)

Lesions arising in the esophagus that are considered potentially malignant until biopsied. As they grow they cause swallowing problems and bleed. Treated ...Read more


Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more