Professional Documents
Culture Documents
CA Esophagus-Presentation and Its Diagnosis 1
CA Esophagus-Presentation and Its Diagnosis 1
• MC histological type:
Adenocarcinoma in western countries
• Male : Female = 7 : 1
• SCC usually occurs in the middle 3rd of the esophagus. The ratio
of upper : middle : lower is 15 : 50 : 35.
Atrophic gastritis
• Twofold increased risk of SCC (but not AC)
• Tylosis
• Hyperkeratosis of palms of the hands
and soles
• Increased incidence of esophageal SCC
• Mutation in the RHBDF2 gene
• Howel-Evans syndrome
Iwaya T. Gastroenterology.
1998
Bisphosphonates
• Odynophagia (17%)
• Regurgitation
• Asymptomatic: 6 to 10%
Bronchopneumonia
Melaena.
• Weight loss
• Dysphagia
2) Nodal status
• Flow cytometry
• P53 immunohistochemistry
• Spectroscopy
Diagnosis and Staging
• Esophageal ca is almost always diagnosed by
endoscopic biopsy.
4. UPTODATE
THANK YOU