Oesophageal Cancer Flashcards
1
Q
RF
A
Smoking Alcohol GORD Barrett's Oesophagus Achalasia Plummer-Vinson Syndrome Squamous cell carcinoma Coeliac Scleroderma
2
Q
Features of oesophagus
A
Dysphagia - most commonly Anorexia Weight loss Vomiting Odynophagia Hoarseness Cough Melaena
3
Q
First line diagnostic test
A
Upper GI endoscopy
4
Q
Diagnostic tests after upper GI endoscopy
A
Staging via CT
If CT does not show metastases = Endoscopic US
5
Q
Treatment
A
- surgical resection if operable
6
Q
What is the biggest surgical challenge?
A
Anastomotic leak
7
Q
What surgery is done?
A
Ivor-Lewis Type Esophagectomy
8
Q
Dysphagia Differentials
A
- oesophageal cancer
- oesophagitis
- oesophageal candidiasis
- achalasia
- pharyngeal pouch
- systemic sclerosis
- myasthenia gravis
- globus hystericus
- plummer vinson syndrome
9
Q
Oesophagitis
A
- heartburn history
- odynophagia
- no weight loss
- systemically unwell
10
Q
Oesophageal candidiasis
A
HIV history
Steroid inhaler use
11
Q
Achalasia
A
Difficulty swallowing due to lower sphincter not relaxing
- solids and lquids
- heartburn
- regurgitation = cough, aspiration pneumonia
12
Q
Pharyngeal Pouch
A
- diverticulum
- through Killian’s dehiscence
- older patients
- men
- dysphagia
- regurg
- aspiration
- neck swelling with gurgling on palpitation
- bad breath
13
Q
What is Killian’s dehiscence
A
- triangle
- pharynx wall
- between thryopharyngeus and cricopharyngeus
- Pharyngeal pouch
