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Esophageal Cancer

In-depth: Esophageal cancer symptoms to look for and why it kills most who are diagnosed with it
In-depth: Esophageal cancer symptoms to look for and why it kills most who are diagnosed with it administrator 4 Views • 2 years ago

Esophageal cancer kills most who are diagnosed with it. Symptoms tend to be acid reflux and trouble swallowing, but, by that point, the cancer is usually considered advanced. https://www.abcactionnews.com/....news/in-depth/in-dep

Treatment of localised and locally advanced esophageal cancer
Treatment of localised and locally advanced esophageal cancer administrator 2 Views • 2 years ago

In this video, CancerBro will explain treatment for non metastatic esophageal cancer. <br /><br />Video Transcript:<br /><br />First we will discuss the treatment for localized esophageal cancer.<br /><br />Earlier stages of esophageal cancer are carcinoma in situ (Tis) and T1a.<br /><br />Endoscopic mucosal resection is the technique which is used for treatment of Tis and T1a disease. This procedure is performed through an endoscope, in which first a fluid is injected the lesion, and then lesion is removed from surrounding structures. <br /><br />As you can see in the figure, only the superficial cancerous portion is removed, while the remaining tissue remains unaffected. <br /><br />Esophagectomy or removal of esophagus is also an option for early stage disease, but is practiced less commonly. <br /><br />As you can see in the figure, in esophagectomy, most of the esophagus is removed. And the stomach is pulled up to be joined to the remaining part of the esophagus. <br /><br />Now we come to the treatment for T1b disease, or the disease that infiltrates into the submucosa, without the involvement of lymph nodes. <br /><br />For T1b disease without lymph nodes involvement, esophagectomy is the preferred treatment. <br /><br />Now, we will discuss the treatment for T2 or T3 disease. That is, the disease which has infiltrated into muscularis propria or serosa. <br /><br />And for the treatment for esophageal cancer, which has spread to the regional lymph nodes. <br /><br />In these cases, sugery alone may not be sufficient for the treatment, so different combination of surgery, radiotherapy and chemotherapy are used.<br /><br />Cancerbro, how it is decided what combination of modalities to be used?<br /><br />It is decided by oncologist on an individual basis, depending upon the exact stage of the disease, the comborbidities and the performance status of the patient. <br /><br />Now we come to the treatment for T4 disease, in which the disease extends to involve the adjacent structures. In this figure, the disease has extended to involve the heart or pericardium. And here, the cancer has spread to the great vessels of the heart. Here, it invades the lungs or pleora. <br /><br />And here, the cancer has infiltrated into the diaphragm. And here it has spread to the trachea. <br /><br />In some cases of T4 disease, surgery may not be possible, so a combinaton of chemotherapy and radiation therapy may be used. <br /><br />And if it is possible, then surgical resection of the tumor, with or without chemotherapy and radiation therapy is done. <br /><br />In T4 disease also, the decision to do surgery or not, and to give chemotherapy or radiotherapy is taken by the oncologist on an individual patient basis after ****essing the exact stage of the disease and understanding the comorbidities and the performance status of the patient.<br /><br /><br />CancerBro is also active on most social media channels. Follow him to get rich and authoritative content related to cancer awareness, risk factors, symptoms, diagnosis, treatment, etc. <br /><br /><br />Facebook - https://www.facebook.com/officialcancerbro<br />Instagram - https://www.instagram.com/official_cancerbro<br />
Esophageal cancer staging
Esophageal cancer staging administrator 2 Views • 2 years ago

Today, CancerBro will explain esophageal or esophagus cancer staging. <br /><br />Video Transcript:<br /><br />The staging system used for esophageal cancer is known as TNM staging system. <br /><br />This diagram is a magnified image of cross-sectiob of wall of esophagusm. Imagine the upper part is the inner side and lower part is outer side. <br /><br />The innermost layer is called as epithelium, followed by this layer, called as lamina propria.<br /><br />Outer to the lamina propria, is this layer called as muscularis mucosa. <br /><br />Outer to which, lies this layer which is called as submucosa. Then lies muscularis propria. <br /><br />And on the outermost aspect, lies this layer which is called as serosa or adven****ia. <br /><br />Now, let&#039;s discuss the T-staging for esophageal cancer. <br /><br />First is Tis, or carcinoma in situ. This is not considered malignant, and is localised to epithelium.<br /><br />Infiltration of lamina propria or muscularis mucosa is called as T1a disease. <br /><br />Infiltration into submucosa is called as T1b. Muscularis propria infiltration is called as T2. And infiltration of serosa or adven****ia is called as T3. <br /><br />Till T3 disease, the cancer is limited to the wall of esophagus, and does not extend outside to involve adjacent structures. <br /><br />Whereas in T4 disease, the cancer infiltrates through the wall of esophagus and involves adjacent structures, like in this figure, the cancer has infiltrated into the heart or pericardium.<br /><br />And here, it has infiltrated into the lungs or pleora. And here it infiltrates the diaphragm. It may also infiltrate anteriorly, into the trachea. Or into the great vessels of heart. <br /><br />So this finishes the T-stage, now let&#039;s come to the N-stage. <br /><br />N staging maybe N1, N2 or N3, depending upon the number of lymph nodes involved. <br /><br />Last comes the M or the metastatic staging, which determines the spread of cancer to distance sites. Like in this figure, the cancer has spread to involve both the lungs. And here it has spread to the liver in form of multiple nodular deposits. <br /><br />Rarely, the cancer may spread to bones.<br /><br />So this completes the TNM staging for esophageal cancer. <br /><br />CancerBro is also active on most social media channels. Follow him to get rich and authoritative content related to cancer awareness, risk factors, symptoms, diagnosis, treatment, etc. <br /><br />Facebook - https://www.facebook.com/officialcancerbro<br />Instagram - https://www.instagram.com/official_cancerbro<br />Twitter - https://twitter.com/cancer_bro/<br />Website - http://www.cancerbro.com/

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