Condition Info - BotMed Application

ConditionName

Esophageal cancer

ConditionDescription

Symptoms

SCC (2/3 upper part of the esophageal) and Adenocarcinoma - Barret (1/3 of lower part);
Progressive dysphasia (solids -> solids and liquids).

PhysicalFindings

ClinicalTests

Most accurate: endoscopy;
Biopsy to confirm cancer;

CT combined with PET-CT – for metastasis;

RiskFactors

Alcohol;
Chronic mucosal damage (hot tea; caustic damage);
Iron deficiency;
Tobacco;
BETEL NUTS;
>5 years GERD;
Barret esophagus;
Obesity (for adenocarcinoma); 
Male sex;
Preserved meat;
Nitrates;
Fungal toxicity; 
Pregnancy;

IsRedFlag

IsNPLEX

Consequence

Dysphagia with solids then progress to liquids >50 y/o;
Iron deficiency anemia;
Metastasis in Lungs – SSC;
Liver, peritoneal - AC.

ProgressionFromCondition

TreatmentOptions

PharmOptions

Surgery following by chemotherapy and radiation

WebLink

https://www.merckmanuals.com/en-ca/professional/gastrointestinal-disorders/tumors-of-the-gastrointestinal-tract/esophageal-cancer