Understanding Oesophageal Cancer

A Comprehensive Guide for Patients and Caregivers

Oncology

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Last updated: Mar 24, 2025

What is Oesophageal Cancer?

Oesophageal cancer is a malignant tumor that develops in the tissues of the oesophagus (food pipe), the muscular tube connecting your throat to your stomach.

Types

  • Squamous cell carcinoma: Develops in the flat cells lining the upper and middle oesophagus
  • Adenocarcinoma: Forms in glandular cells in the lower oesophagus, often associated with Barrett's oesophagus

Risk Factors

  • Age (more common in people over 60)
  • Smoking and alcohol consumption
  • Chronic acid reflux (GERD)
  • Barrett's oesophagus
  • Obesity
  • Poor diet low in fruits and vegetables

Common Symptoms

  • Difficulty swallowing (dysphagia)
  • Unexplained weight loss
  • Chest pain or heartburn
  • Chronic cough
  • Hoarseness
  • Indigestion

Diagnosis

  1. Physical examination
  2. Endoscopy: A camera examination of your oesophagus
  3. Biopsy: Tissue sample analysis
  4. Imaging tests: CT scans, PET scans, or MRI

Treatment Options

Surgery

  • Oesophagectomy
  • Minimally invasive techniques

Other Treatments

  • Chemotherapy
  • Radiotherapy
  • Combined chemoradiotherapy
  • Targeted therapy
  • Immunotherapy

Living with Oesophageal Cancer

Dietary Modifications

  • Soft, moist foods
  • Small, frequent meals
  • Proper positioning while eating

Support and Recovery

  • Regular follow-up care
  • Nutritional support
  • Psychological support
  • Support groups

Prevention

  • Quit smoking
  • Limit alcohol consumption
  • Maintain healthy weight
  • Eat a balanced diet
  • Regular medical check-ups

When to Seek Medical Help

Consult your healthcare provider if you experience:

  • Persistent difficulty swallowing
  • Unexplained weight loss
  • Chronic heartburn
  • Voice changes lasting more than 3 weeks

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