Esophageal Cancer Surgery at World Class Hospitals in India - PowerPoint PPT Presentation

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Esophageal Cancer Surgery at World Class Hospitals in India

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Treatment of Esophageal Cancer The stage of cancer is determined first of all by analysing the size of the tumour and the number and location of enlarged lymph nodes. – PowerPoint PPT presentation

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Title: Esophageal Cancer Surgery at World Class Hospitals in India


1
Esophageal Cancer Surgery at World Class
Hospitals in India
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2
Esophageal Cancer
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Cancer that begins in the esophagus (also called
esophageal cancer) is divided into two major
types, squamous cell carcinoma and
adenocarcinoma, depending on the type of cells
that are malignant. Squamous cell carcinomas
arise in squamous cells that line the esophagus.
These cancers usually occur in the upper and
middle part of the esophagus. Adenocarcinomas
usually develop in the glandular tissue in the
lower part of the esophagus. The treatment is
similar for both types of esophageal cancer. If
the cancer spreads outside the esophagus, it
often goes to the lymph nodes first. (Lymph nodes
are small, bean-shaped structures that are part
of the body's immune system.) Esophageal cancer
can also spread to almost any other part of the
body, including the liver, lungs, brain, and
bones.
3
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Diagnosis Of Esophageal Cancer
Barium Swallow or Upper Gastrointestinal (GI)
X-raysBarium in liquid form is used to coat the
esophagus wall and then a digital x-ray is taken
so that the condition of the esophagus can be
clearly seen. Upper Endoscopy for Esophageal
CancerEndoscope is a flexible, very narrow tube
with a video camera and light on the end. The
patient is sedated to allow for this tube to pass
through into the esophagus and stomach. The
doctor can see on a compute monitor the
abnormalities in the wall of the esophagus
clearly.
4
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Endoscopic Ultrasound for Esophageal CancerAn
endoscope with a small ultrasound probe attached
to its sends very sensitive sound waves that
penetrate deep into tissues. The sound waves
bounce off the normal tissues images convey how
deeply the tumor has invaded into the
esophaBronchoscopy for Esophageal CancerThe
physician looks into the trachea (windpipe) and
bronchi (tubes leading from the trachea to the
lung). Positron Emission Tomography (PET SCAN )
for Esophageal CancerIn this test, the patient
is administered radioactive isotope glucose and
since the cancers use sugar much faster than
normal tissues, the cancerous tissue takes up the
radioactive material. A PET scanner can spot the
radioactive deposits.
5
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Treatment of Esophageal CancerThe stage of
cancer is determined first of all by analysing
the size of the tumour and the number and
location of enlarged lymph nodes. Accurate
staging helps tailor treatment to the patient's
specific needs. Staging can be done with CT scan,
biopsy, esophageal ultrasound and PET
scan.Radiation TherapyRadiation therapy is
first deployed to shrink the tumor with carefully
directed radiation at the tumor. This helps
destroy or reduce the tumor, because cancer cells
divide and grow faster than normal cells. Normal
cells usually recover successfully from new age
radiation like Linac, Gamma Knife, Novelis or
Cyberknife. Radiation therapy is given as an
outpatient for 5 minutes for 5 to 6 weeks.
6
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ChemotherapyChemotherapy is used to help shrink
the tumor and kill any cancer cells in the lymph
nodes. There are several chemotherapy medications
that work to kill lung cancer and often a
combination of 2 of these medications is
prescribed. The specific medication or
combination of medications you receive will be
selected based on your tumor type and your
medical history. Chemotherapy will be given as an
inpatient for 4-5 day sessions twice during your
treatment. Other medications before and during
chemotherapy are prescribed which are designed to
minimize and relieve the side effects.Re-staging
Approximately 4-6 weeks after your last
treatments you will undergo several tests to
determine the success of therapy. You may be
required to undergo another set of tests like CT
scan of the chest and upper abdomen and Upper
endoscopy and esophageal ultrasound.Surgical
ResectionIf you have had chemotherapy and
radiation therapy, surgical resection of the
esophagus will occur approximately 5-6 weeks
after your last radiation treatment.
7
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