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Oesophageal cancer: Difference between revisions
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== Diagnosis and evaluation == | == Diagnosis and evaluation == | ||
[[Upper endoscopy]] is the investigation of choice, as it allows for both visual diagnosis and biopsy. [[Endoscopic ultrasound]] | [[Upper endoscopy]] is the investigation of choice, as it allows for both visual diagnosis and biopsy. After the diagnosis is made, the most important is to determine the tumour’s resectability. [[Endoscopic ultrasound]] (EUS) is the preferred method for this, as it’s the most accurate technique for staging the tumour locally (T) and regionally (N). EUS can separate T1A and T1B stages. | ||
[[CT]] thorax and abdomen is required for staging. [[Bronchoscopy]] is required if extension into the bronchial system is suspected. | [[CT]] thorax and abdomen is required for staging. [[Bronchoscopy]] is required if extension into the bronchial system is suspected. | ||
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== Prognosis == | == Prognosis == | ||
The prognosis is very poor, with a 5-year survival of 15%. The 5-year survival of patients treated with curative surgery is around 30 – 40%. Squamous cell carcinoma has a worse prognosis than adenocarcinoma. | The prognosis is very poor, with a 5-year survival of 15%. The 5-year survival of patients treated with curative surgery is around 30 – 40%. Squamous cell carcinoma has a worse prognosis than adenocarcinoma. | ||
<noinclude>[[Category:Gastrointestinal surgery]] | <noinclude> | ||
[[Category:Gastroenterology]]</noinclude> | [[Category:Gastrointestinal surgery]] | ||
[[Category:Gastroenterology]] | |||
</noinclude> | |||