Oesophageal cancer

Question 1

what is the most common type of oesophageal cancer?

Answer 1

squamous cell carcinoma

Question 2

what are risk factors?

Answer 2

smoking over 60 years and achlasia

Question 3

adenocarcinoma develops in?

Answer 3

lower 1/3 and due to GERD

Question 4

specific risk factors of squamous cell cancer?

Answer 4

hot fluids, caustic strictures and alcohol, plummer vinson syndrome and plamoplantar keratoderma (thick patches on skin`0

Question 5

what is plummer vinson syndrome?

Answer 5

iron deficiency anaemia
glossitis
cheilosis
esophageal webs/rings

Question 6

risk factor for adenocarcinoma?

Answer 6

barretts, GERD male and obesity

Question 7

risk factor for adenocarcinoma?

Answer 7

barretts, GERD male and obesity

Question 8

presentation?

Answer 8

dysphagia solid then liquids too
can be asymptomatic, odynophagia
heartburn
pain in chest and back vomiting weight loss,
fistula with trachea can lead to aspiration of contents so coughing and dyspnea, hiccups

Question 9

diagnosis of oesophageal cancer?

Answer 9

endoscopy and biopsy

Question 10

treatment?

Answer 10

mucosal ablation, endoscopic tumour resection or oesophagectomy or palliative with stent