- Esophageal cancer: look for the cause in the diet
- Causes and stage
The disease is cancer of the esophagus - is usually a consequence of the power system, as well as the person's lifestyle. Its share of diagnosed malignant tumors take between two to five percent. Esophageal cancer is more common in men than women, and is developing mainly in the elderly.
Symptoms
Signs and symptoms of cancer
Symptoms of cancer: time to recognize the disease - a guarantee of recovery
esophagus:
- Difficulty swallowing (dysphagia);
- Weight loss;
- Pain or burning sensation of pressure in the chest;
- Fatigue;
- Frequent feeling of choking while eating;
- Indigestion or heartburn
Heartburn - no cause for concern?
;
- Cough or hoarseness.
Typically, symptoms appear only in the later stages of the development of esophageal cancer.
Types of esophageal cancer
- Adenocarcinoma develops in the cells that produce mucus in the esophagus. Most often, it starts to grow at the bottom of the esophagus.
- Squamous cell carcinoma grows in the cells that cover the surface of the esophagus. It generally develops in the middle of the esophagus. This is the most common type of esophageal cancer in the world.
Risk factors
It is believed that chronic irritation of the esophagus can promote cell DNA changes which can cause cancer of the esophagus. Factors that irritate the esophagus cells and increase the risk of developing cancer of the esophagus:
- Alcohol consumption;
- Reflux of bile;
- The use of chewing tobacco;
- Difficulty swallowing due to the fact that the esophageal sphincter muscle can not relax normally;
- Drinking very hot liquids;
- Lack of fruits and vegetables in the diet;
- Gastroesophageal reflux disease (GERD);
- Obesity;
- The presence of pre-cancerous changes in the cells of the esophagus (Barrett's esophagus);
- Effects of ionizing radiation on the chest and upper abdomen (such as radiotherapy);
- Smoking.
Complications
As it develops esophageal cancer can cause the following complications:
- The obstruction of the esophagus. The cancer can make the movement of food or liquids down the esophagus difficult or impossible;
- Strong pain;
- Bleeding in the esophagus;
- Significant weight loss. Soreness eating for cancer of the esophagus can lead to rapid weight reduction;
- Cough.
Diagnostics
For the diagnosis of cancer of the esophagus, the following methods:
- Endoscopy.
- X-ray examination of the esophagus.
- Biopsy.
If diagnosed with cancer of the esophagus, it is also necessary to determine its stage. It uses computed tomography (CT) and positron emission tomography (PET).
There are four stages of esophageal cancer - from the first localized in the tissues of the esophagus, to the fourth, when the cancer is metastasis
Metastasis - danger everywhere
in various parts of the body.
Treatment
For the treatment of small esophageal cancer, which develops in its upper layers, it may be recommended surgery to remove the tumor and a small portion of the surrounding healthy tissue. In the very early stages of esophageal cancer surgery is performed using an endoscope.
When more extensive tumor may be necessary esophagectomy - removal of the esophagus in which a tumor and surrounding lymph nodes. The remaining part of the esophagus connects to the stomach.
Sometimes surgery is required, which is called resection of the esophagus and proximal stomach - the removal of the esophagus, the upper stomach and surrounding lymph nodes.
From surgery to remove cancer of the esophagus associated risk of serious complications, including infection, bleeding, and leakage of the contents of the esophagus in the place where he was again connected to the stomach.
Before or after surgery, or instead it can be used such therapies, like chemotherapy
Chemotherapy - it always falls the hair?
and radiation therapy. They are, individually and in combination with each other, are used to reduce the cancer (to facilitate operation) for the destruction of residual postoperative cancer cells, as well as to prolong life and to preserve the quality of life in patients with esophageal cancer at later stages.