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Showing posts with label Esophageal Cancer. Show all posts
Showing posts with label Esophageal Cancer. Show all posts

Wednesday, September 24, 2014

Treatment of Esophageal Cancer

Selection of methods of treatment of Esophageal Cancer has a very important impact, early treatment for esophageal cancer can prolong life goals, treatment can be control of this disease, prevent complications, and improve quality of life. Treatment can be tailored to the disease itself or by means of a combined,
Surgery: removing tumor tissue adjacent to the lymph nodes, is more effective for the initial treatment of localized lesions at the time. Pathologic stage is the most important prognostic factor for survival of patients with cancer of the esophagus, esophageal cancer patients stage 1 surgery seteleah possibility to live 5 years longer to reach 80% to 90%, for patients who have undergone esophageal cancer spread (stage 3 and stage 4) possibility to live 5 years longer only to 15%.

Radiotherapy: used before surgery to shrink the tumor, or after surgery to eradicate the remnants of cells after surgery. If the patient is not fit for surgery, radiotherapy may be an alternative to replace surgery.

Chemotherapy may be combined with radiotherapy to eradicate cancer cells. To mengtrol esophageal cancer lesions smaller scope, but has no significant effect to the body.

Photodynamic therapy: a photosensitive material and technological advances in recent years endoscopy, photodynamic therapy can improve progress, became commonly used in the treatment after first-line treatment.
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Symptoms of Esophageal Cancer

Early symptoms of esophageal cancer is not very clear, more than half of patients with systemic metastases at diagnosis, after a 5-year survival rate of operation only 25% to 40%. Therefore, understanding the symptoms of esophageal cancer, impact on the detection and early treatment to improve life expectancy.
1. In the throat feels weird, and chokes when swallowing food

2. When swallowing sternum feels hot, burning or pain as interested

3. Difficulty swallowing, so it can not eat, often accompanied by vomiting, abdominal pain, weight loss and other symptoms

4. Difficulty eating continuously can cause malnutrition, weight loss, chacexia, the spread of cancer can occur, pressure, and other complications.

It should be noted, if you have symptoms like this, not necessarily cancer of the esophagus, the esophagus may also be due to other diseases, but if you have like this should go to the hospital for examination in order to know whether the disease is caused by cancer or by other diseases.

Diagnosis of esophageal cancer

1. Fiber endoscopy: how is widely used to examine gastrointestinal disease (esophageal cancer, stomach cancer, etc.)

2. Examination with ultrasound: to determine the depth of the lesion in the esophagus inflirtasi; to measure the enlarged lymph nodes were abnormal on the wall of the esophagus; lepsi siting on the wall of the esophagus

3. X-ray examination: can determine the lesion, length and temperature of obstruction, can also determine the cancer cells have not been attacked or other parts.

4. CT Scan: CT scan can clearly show the relationship between the esophagus with mediastinal adjacent, but somewhat difficult to detect early esophageal cancer.

5. Esophageal cytology: examination is simple, with early check pain.

Staging of Esophageal cancer

Stage 0: Early esophageal cancer, cancer that occurs only in the keronkongan limited, there are no changes to be malignant on other networks, also did not spread to the lymph nodes.

Stage 1: The cancer to other parts of the attack have deprived under layer of the epidermis, the cancer cells appeared in the lamina propria or submucosa, but not disturb muscle. Cancer will not spread to lymph nodes or other organs.

Stage 2: Can spread the lymph nodes but not to other organs.

Stage 3: The cancer has spread to the trachea esophagus adjacent to other organs, but do not affect the associated lymph nodes, no distant metastases.

Stage 4: Esophageal cancer has spread through the blood to other organs such as the liver, bones, brain and others.
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Esophageal Cancer

Esophageal cancer is a cancer refers to any piece in the tissue cells of the esophagus, dysplasia occurs with the formation of malignant disease, is one of the common malignant tumors of the digestive system, then susceptible to systemic abuse and proliferation.
Type of esophageal cancer can be divided into four, the most common is squamous cell carcinoma, accounts for more than 90% of the process of cancer development and the slow rate of diffusion, therefore, has been detected early, can be with surgery, chemotherapy, and radiotherapy to control cancer. The rest of esophageal adenocarcinoma, small cell carcinoma differentiated, carcinosarcoma is a very rare type of cancer of the esophagus but very high levels of damage.

Worldwide approximately 30 million people died of esophageal cancer. The incidence in men is much higher than in women, the ratio between men and women between 1.1 to 17: 1. The older the greater the likelihood of developing esophageal cancer, aged under 35 years had a lower likelihood, age 35 and over have gradually increased the possibilities, aged 60 to 69 was the highest age for incidence of esophageal cancer. But do not worry, responsive attitude of early symptoms and treatment combined with sophisticated and effective in the treatment of esophageal cancer, can increase the life expectancy for patients.

Causes of esophageal cancer

The cause of esophageal cancer is lifestyle, health, genetic factors, other factors into a complex, long-term or diet can lead to esophageal cancer.

Especially: 1. Foods that contain a lot of nitrosamines, such as moldy foods or pickles; 2. Continuously consumes hot, such as drinking a hot beverage, or eat hot food; 3. Bad habits such as smoking, drinking, etc.

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