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Flashcards in Eso CA Deck (14):
1

2 types of espophaeal

1. SCC - from squam epi
2. adenocarcinoma - from columnar epi

2

epi

- uncommon
- male>femal
- >60
- regional

3

how is epi changing

SSC on decline
adeno on the rise

4

location and precursor to adeno

location: distal
precursor: barrets

5

location and precursor to SCC

location: mid
precursor: squamous dysplasia

6

what is morpho of 2 types

SCC- solid with no glands
adeno - look for glandular spaces

7

what is target for screening

barretts

8

SCC risk factors

1. alc
2. smoking
3. low SES
4. male
5. AA
6. diet
7. past HandN CA

9

Adeno risk factors

1. reflux
2. barrets
3. older
4, male
5. obese
6. smoker
7. white

10

clinical features

1. dysphagia
2. odynophagia
3. anorexia
4. ussualy advanced when seen

11

outcomes for surg

for local disease
- high complication rate
-

12

** 3 keys to resctability

no
1. nodes
2, mets
3. invasion of adjacent organs

13

what to do for non-resectable (2)

1. combined chemo/rad
2. stent for palliation

14

pronosis

resectable : node+ - 17, - 40
nonresectable: 3-5

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