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Oesophageal Cancer

Oesophagus is a food pipe that connect the mouth to the stomach. Oesophageal cancer develops within this tube

Risk Factors

  • Heavy alcohol intake
  • Smoking / tobacco
  • Taking very hot beverages
  • Chronic reflux (GERD)
  • Eating less fruit and vegetables
  • Obesity
  • Barret-Oesophagus

Signs and symptoms

  • Difficulty swallowing (dysphagia).
  • Weight loss
  • Regurgitation / vomiting
  • Heart burn
  • Chest pain
  • Hoarseness / coughing

Diagnosis

The following tests are used to diagnose and stage oesophageal cancer

  • Endoscopy (OGD) and biopsy
  • CTSCAN
  • Endoscopic ultra-sound

Treatment

  • Treatment of oesophageal cancer is guided by the stage and the fitness of the patient.
  • Very early stage( 0 & 1) endoscopic removal (resection) is recommended.
  • Advanced stage (stage 3 & 4) are treated by endoscopic stent, radiotherapy and chemotherapy.
  • Palliative care – Supportive care is needed for people with advanced cancer.
  • Multimodal-treatment may be needed for certain patients with oesophageal cancer.