Oesophageal Cancer

Question 1

What are risk factors for the two main oesophageal cancers?

Answer 1

• General
  
  • Male
  • Low socioeconomic status
• SCC
  
  • Tobacco use
  • EtOH use
  • FHx (stomach, oral, oesophageal)
  • Non-white
• Adenocarcinoma
  
  • Barrett’s/GORD
  • Hiatus hernia
  • Obesity

Question 2

What are the general findings on history in someone suspected of oesophageal cancer?

Answer 2

• Risk factors
• Dysphagia
• Odynophagia
• Weight loss

Question 3

What are the diagnostic and management principles for a patient with oesophageal cancer?

Answer 3

• Endoscopy/biopsy, CT
• Surgical intervention
  • Oesophagectomy (if surgical candidate) with chemo/radiotherapy - cisplatin/fluorouracil