Two Onc Docs Esophageal Cancer
15 snips
Jul 24, 2023 Exploring risk factors, diagnosis, and treatment strategies for esophageal cancer. Detailed overview of localized cancer treatment and radiation effects. Discussing different dissection types and various treatment options for metastatic cases.
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Types and Locations of Esophageal Cancer
- Squamous esophageal cancers usually affect the upper third and are more radiation sensitive, often not suitable for surgery.
- Adenocarcinomas affect the lower two thirds and the GE junction, tied to different risk factors like obesity and Barrett's esophagus.
Diagnosis and Staging Protocol
- Diagnose esophageal cancer using endoscopy with biopsy and staging with CT chest/abdomen plus PET.
- Use endoscopic ultrasound for detailed staging if no distant metastases, and bronchoscopy if tumor reaches the carina.
Treatment Orientation by Tumor Stage
- Treat T1A tumors with endomucosal resection; T1B tumors require esophagectomy.
- Recognize that non-regional lymph nodes indicate metastatic disease affecting treatment.