Esophageal Cancer Specialist in Mumbai
- Esophagus is a long muscular tube like structure
that runs from your throat to the stomach through
wish food travels down to the stomach. Esophageal cancer starts to develop in the inner layer of
the
esophagus and can spread through other layers and to different parts of the body (metastasis).
Esophageal cancer is the 10 th most common
cancer in the world. It is also among the most
challenging cancers to treat as it causes symptoms that usually go unnoticed until after the
cancer
has spread.
Two most common types of esophageal cancer;
-
Squamous cell carcinoma: Develops in squamous cells i.e. inner lining of the esophagus,
usually affects the upper and middle parts of the esophagus.
- Adenocarcinoma: Develops in the tissue that makes mucus that helps you swallow. Usually
affects lower part of the esophagus.
Symptoms
Early on there may be no symptoms. The advanced cancers symptoms include,
-
Difficulty or pain when swallowing
- Weight loss
- Pain in the chest, behind the breastbone
- Coughing
- Hoarseness
- Indigestion and heartburn
Causes
-
Tobacco use
- Alcohol use
- Obesity
- Chronic acid reflux
- HPV
- History of cancer
- Other disorders
- Occupational exposure to certain chemicals.
Diagnosis
-
Barium swallow X-ray: The patient is made to drink a liquid with barium which makes it
easier to examine esophagus on the X-ray
- Endoscopy: Thin flexible tube is passed down the throat is used to examine the
esophagus
- Biopsy:Cells taken during the endoscopy are observed under a microscope for the presence
of cancer
- Other:CT Scan, Ultrasound, PET scan, thoracoscopy, and laparoscopy.
Risk Factors
-
Smoking
- Obesity
- Lack of exercise
- Tobacco and alcohol use
- Gastric reflux
- Barrett’s esophagus: Condition that affects the lower part of the esophagus that maybe
caused by GERD
Stages of Esophageal Cancer
-
Stage 0:Abnormal cells (not yet cancer) are found only in the inner line of the esophagus
- Stage I:Cancer cells are found in the layer of cells that line the esophagus
- Stage II:Cancer has reached muscle layer/ outer layer of the esophagus
- Stage III:Cancer has reached deeper into the muscle layer and might have spread beyond
esophagus
- Stage IV:Cancer is most advanced at this stage and has spread to other organs in the
body and/or
lymph nodes far from the esophagus.
Efficient diagnosis of cancer staging can be done by the best cancer specialist using his
expertise and
knowledge in the field.
Epidemiology
-
Esophageal cancer is more common in men
When should I see a cancer specialist?
- Depending on the condition, your follow up
routine would be put forth. People with early stage
cancer being managed will have different follow up schedule than those with advanced stage
cancer
that has spread.
- Following a precise treatment regimen by a
renowned cancer specialist, esophageal cancer can be
managed well. Dr. Sanjay Sharma hold overs 40 years of experience in the field of oncology, now
serving as one of the best cancer specialist in Mumbai. He is determined to treat cancer in a
way
that will both control and eradicate it.
What questions should I ask my cancer specialist?
Esophageal cancer being a life threatening illness
requires you to be well informed about the
same.
You may want to ask your consultant the following questions;
-
What kind of esophageal cancer do I have?
- What stage is my cancer?
- What treatments do you recommend?
- Is there a cure?
- If there isn’t a cure, what can you do to help me?
- How long can I live with this cancer?
- Do I need any genetic or biomarker testing done?