CANCER OESOPHAGUS

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Essentials of Diagnosis:-


• Progressive dysphagia even to liquids.
• Anaemia, weight loss.

• Chest pain—Unrelated to eating implies local exten- sion of tumour.
• Barium swallow shows irregular, frequently annular space occupying lesions.

Treatment:-


-Irradiation is best, if upper half of oesophagus is involved.
-In absence of metastasis, tumours of lower half may be treated by resection and oesophago-gastrostomy or jejunal or colonic interposition. Gastrostomy for palliation in hopeless cases may be done to improve nutrition. Cure rate in best hands is only 5 to 10 per cent.

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