14 doctors weighed in:

Is surgery required as part of therapy of my localized esophageal cancer?

14 doctors weighed in
Dr. David Cooke
Surgery - Thoracic
7 doctors agree

In brief: Usually

In the medically fit individual surgery is the standard of care for early stage esophageal cancer.

In brief: Usually

In the medically fit individual surgery is the standard of care for early stage esophageal cancer.
Dr. David Cooke
Dr. David Cooke
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Dr. Loki Skylizard
Surgery - Thoracic
3 doctors agree

In brief: Often recommended

For best survival in fit patients, surgery for stage i and iia.
In stages iib and iii, standard approach is chemoradiation followed by surgery. More advanced, i.e. Stage iv, chemotherapy +/- radiation and no surgery. Best results will be with a comprehensive multidisciplinary thoracic surgical oncology team. http://goo.gl/6phtu.

In brief: Often recommended

For best survival in fit patients, surgery for stage i and iia.
In stages iib and iii, standard approach is chemoradiation followed by surgery. More advanced, i.e. Stage iv, chemotherapy +/- radiation and no surgery. Best results will be with a comprehensive multidisciplinary thoracic surgical oncology team. http://goo.gl/6phtu.
Dr. Loki Skylizard
Dr. Loki Skylizard
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1 comment
Dr. Loki Skylizard
The most important thing is working with a comprehensive multidisciplinary thoracic surgical oncology team. Your team will evaluate and develop and individualized treatment plan.
Dr. Ritesh Rathore
Internal Medicine - Hematology & Oncology
2 doctors agree

In brief: Most of the time

Surgery is a standard option for localized esophageal cancer.
Chemotherapy and radiotherapy are used before surgery to improve the odds of completely removing all cancer. Otherwise, chemotherapy and radiotherapy are given after surgery to reduce the odds of cancer returning. If the cancer involves structures within the chest (blood vessels, windpipe, heart lining, etc.) surgery can not be done.

In brief: Most of the time

Surgery is a standard option for localized esophageal cancer.
Chemotherapy and radiotherapy are used before surgery to improve the odds of completely removing all cancer. Otherwise, chemotherapy and radiotherapy are given after surgery to reduce the odds of cancer returning. If the cancer involves structures within the chest (blood vessels, windpipe, heart lining, etc.) surgery can not be done.
Dr. Ritesh Rathore
Dr. Ritesh Rathore
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Dr. Andrew Turrisi
Radiation Oncology
1 doctor agrees

In brief: Surgeons

Wisely select who might benefit from surgery.
In the eus era, all t1-t2 lesions are able to undergo surgery if they are medically fit to do so. Those that penetrate throught the muscle are in need of chemo and raiotherapy, +/- surgery. The natural history of the disease tells you what to do if you are wise enough to listen.

In brief: Surgeons

Wisely select who might benefit from surgery.
In the eus era, all t1-t2 lesions are able to undergo surgery if they are medically fit to do so. Those that penetrate throught the muscle are in need of chemo and raiotherapy, +/- surgery. The natural history of the disease tells you what to do if you are wise enough to listen.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. Andrew Turrisi
Radiation Oncology

In brief: In that it always

Effects genes, either mutation or dysregulation, yes.
But it may not always be genetic meaning heritable. Not all cancers are due to our genetic endowment (li fraumeni, brca -1&2, retinoblastoma gene), some by our foolish activity (smoking), others we just don't know.

In brief: In that it always

Effects genes, either mutation or dysregulation, yes.
But it may not always be genetic meaning heritable. Not all cancers are due to our genetic endowment (li fraumeni, brca -1&2, retinoblastoma gene), some by our foolish activity (smoking), others we just don't know.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. Andrew Turrisi
Radiation Oncology

In brief: Anti-oxidants

And there are plenty, are dietary and nutritional supplements that purport to reduce cancer risk.
These reduce free radicals, chemicals with an unpaired electron, or repair the damage that an oxidizing millieu produces. Vitamin e has thought to be in this group, and sulfhyryl molecules that sponge up free radicals. But than water solubles like elagic acids from berries and vitamin c too. Not oxygenation.

In brief: Anti-oxidants

And there are plenty, are dietary and nutritional supplements that purport to reduce cancer risk.
These reduce free radicals, chemicals with an unpaired electron, or repair the damage that an oxidizing millieu produces. Vitamin e has thought to be in this group, and sulfhyryl molecules that sponge up free radicals. But than water solubles like elagic acids from berries and vitamin c too. Not oxygenation.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. Andrew Turrisi
Radiation Oncology

In brief: Some T cell malignancy

Is curable, others less so.
Mycosis fungoides/sezary syndrome, aka cutaneous t-cell lymphoma is very treatable, but unlikely to be cured. Others in nodes are not too different than b-cells. Unfortuantely there is not a rituximab, anti -cd-20 b-cell antibody equivalent for t-cells.

In brief: Some T cell malignancy

Is curable, others less so.
Mycosis fungoides/sezary syndrome, aka cutaneous t-cell lymphoma is very treatable, but unlikely to be cured. Others in nodes are not too different than b-cells. Unfortuantely there is not a rituximab, anti -cd-20 b-cell antibody equivalent for t-cells.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. Andrew Turrisi
Radiation Oncology

In brief: If you were

"constipated", hou still may have some fecal blockade.
The straining can indeed cause hemorrhoids to act up. It may be best to go to the doctor and be checked than sequential: miralax/mag citrate/fleets, and then a regimen to avoid constipation: fresh fruits, dried fruits--apricots are as powerful as prunes.

In brief: If you were

"constipated", hou still may have some fecal blockade.
The straining can indeed cause hemorrhoids to act up. It may be best to go to the doctor and be checked than sequential: miralax/mag citrate/fleets, and then a regimen to avoid constipation: fresh fruits, dried fruits--apricots are as powerful as prunes.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. Andrew Turrisi
Radiation Oncology

In brief: I'd be very

Enthusiastic about genetic tests if all of you had the same cancer, i.
e. Familial adenomatous polyposis. If one had a sarcoma another a brain tumor, the li fraumeni syndrome might be operational...The problem is that genetic testing can be expensive, and you need to ponder what the information will do for you, your family and your children.

In brief: I'd be very

Enthusiastic about genetic tests if all of you had the same cancer, i.
e. Familial adenomatous polyposis. If one had a sarcoma another a brain tumor, the li fraumeni syndrome might be operational...The problem is that genetic testing can be expensive, and you need to ponder what the information will do for you, your family and your children.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. Andrew Turrisi
Radiation Oncology

In brief: Actually, night sweats are

Not specific to lymphoma, so do not be so sure.
There is no "lymphoma prevention" regimen. See your doctor, get an exam, h/she will order test. Relax.

In brief: Actually, night sweats are

Not specific to lymphoma, so do not be so sure.
There is no "lymphoma prevention" regimen. See your doctor, get an exam, h/she will order test. Relax.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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1 comment
Dr. Andrew Turrisi
I did write this answer, but it was to a different question about 3 relatives with cancer....not sure how the site does this, but it done me wrong on this one! ;-}
Dr. Andrew Turrisi
Radiation Oncology

In brief: A 1- 1.2 cm

S'clav node is not very large or even easy to feel.
Your question included "immunodeficiency", that can be code for hiv. Hiv commonly has ubiquitous nodes of this size in many locations. Knowing viral load and cd-4 counts become important in this situation, and review of meds.

In brief: A 1- 1.2 cm

S'clav node is not very large or even easy to feel.
Your question included "immunodeficiency", that can be code for hiv. Hiv commonly has ubiquitous nodes of this size in many locations. Knowing viral load and cd-4 counts become important in this situation, and review of meds.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. Andrew Turrisi
Radiation Oncology

In brief: No..

Humans do not grow back organs that are removed.
Some cells and tissues regenerate (skin, blood elements, GI tract lining) but not organs or limbs.

In brief: No..

Humans do not grow back organs that are removed.
Some cells and tissues regenerate (skin, blood elements, GI tract lining) but not organs or limbs.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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