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Diseases » Esophagus Cancer » Treatments
 

Treatments for Esophagus Cancer

Treatments for Esophagus Cancer

The list of treatments mentioned in various sources for Esophagus Cancer includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Esophagus Cancer: Is the Diagnosis Correct?

The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Esophagus Cancer may include:

Esophagus Cancer: Marketplace Products, Discounts & Offers

Products, offers and promotion categories available for Esophagus Cancer:

Esophagus Cancer: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Drugs and Medications used to treat Esophagus Cancer:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Esophagus Cancer include:

  • Carboplatin
  • Paraplatin
  • Paraplatin-AQ
  • Blastocarb
  • Carbotec
  • Cisplatin
  • Platinol-AQ
  • Blastolem
  • Tecnoplatin

Latest treatments for Esophagus Cancer:

The following are some of the latest treatments for Esophagus Cancer:

Hospital statistics for Esophagus Cancer:

These medical statistics relate to hospitals, hospitalization and Esophagus Cancer:

  • 0.29% (37,174) of hospital consultant episodes were for malignant neoplasm of oesophagus in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 84% of hospital consultant episodes for malignant neoplasm of oesophagus required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 70% of hospital consultant episodes for malignant neoplasm of oesophagus were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 30% of hospital consultant episodes for malignant neoplasm of oesophagus were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • more hospital information...»

Hospitals & Medical Clinics: Esophagus Cancer

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Esophagus Cancer:

Hospital & Clinic quality ratings » »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Esophagus Cancer, on hospital and medical facility performance and surgical care quality:

Medical news summaries about treatments for Esophagus Cancer:

The following medical news items are relevant to treatment of Esophagus Cancer:

Discussion of treatments for Esophagus Cancer:

Treatment for esophageal cancer depends on a number of factors, including the size, location, and extent of the tumor, and the general health of the patient. Patients are often treated by a team of specialists, which may include a gastroenterologist (a doctor who specializes in diagnosing and treating disorders of the digestive system), surgeon (a doctor who specializes in removing or repairing parts of the body), medical oncologist (a doctor who specializes in treating cancer), and radiation oncologist (a doctor who specializes in using radiation to treat cancer). Because cancer treatment may make the mouth sensitive and at risk for infection, doctors often advise patients with esophageal cancer to see a dentist for a dental exam and treatment before cancer treatment begins.

Many different treatments and combinations of treatments may be used to control the cancer and/or to improve the patient's quality of life by reducing symptoms.

  • Surgery is the most common treatment for esophageal cancer. Usually, the surgeon removes the tumor along with all or a portion of the esophagus, nearby lymph nodes, and other tissue in the area. (An operation to remove the esophagus is called an esophagectomy.) The surgeon connects the remaining healthy part of the esophagus to the stomach so the patient is still able to swallow. Sometimes, a plastic tube or part of the intestine is used to make the connection. The surgeon may also widen the opening between the stomach and the small intestine to allow stomach contents to pass more easily into the small intestine. Sometimes surgery is done after other treatment is finished.

  • Radiation therapy , also called radiotherapy, involves the use of high-energy rays to kill cancer cells. Radiation therapy affects cancer cells in the treated area only. The radiation may come from a machine outside the body (external radiation) or from radioactive materials placed in or near the tumor (internal radiation). A plastic tube may be inserted into the esophagus to keep it open during radiation therapy. This procedure is called intraluminal intubation and dilation. Radiation therapy may be used alone or combined with chemotherapy as primary treatment instead of surgery, especially if the size or location of the tumor would make an operation difficult. Doctors may also combine radiation therapy with chemotherapy to shrink the tumor before surgery. Even if the tumor cannot be removed by surgery or destroyed entirely by radiation therapy, radiation therapy can often help relieve pain and make swallowing easier.

  • Chemotherapy is the use of anticancer drugs to kill cancer cells. The anticancer drugs used to treat esophageal cancer travel throughout the body. Anticancer drugs used to treat esophageal cancer are usually given by injection into a vein (IV). Chemotherapy may be combined with radiation therapy as primary treatment (instead of surgery) or to shrink the tumor before surgery.

  • Laser therapy is the use of high-intensity light to destroy tumor cells. Laser therapy affects the cells only in the treated area. The doctor may use laser therapy to destroy cancerous tissue and relieve a blockage in the esophagus when the cancer cannot be removed by surgery. The relief of a blockage can help to reduce symptoms, especially swallowing problems.

  • Photodynamic therapy (PDT), a type of laser therapy, involves the use of drugs that are absorbed by cancer cells; when exposed to a special light, the drugs become active and destroy the cancer cells. The doctor may use PDT to relieve symptoms of esophageal cancer such as difficulty swallowing.

(Source: excerpt from What You Need To Know About Cancer of the Esophagus: NCI)

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Book Excerpts: Treatment of Esophagus Cancer

Treatments of Esophagus Cancer: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Esophagus Cancer.

Laryngeal cancer: Treatment
(Professional Guide to Diseases (Eighth Edition))

Early lesions are treated with surgery or radiation; advanced lesions with surgery, radiation, and chemotherapy. In early stages, laser surgery can excise precancerous lesions; in advanced stages it can help relieve obstruction caused by tumor growth. Surgical procedures vary with tumor size and can include cordectomy, partial or total laryngectomy, supraglottic laryngectomy, or total laryngectomy with laryngoplasty. The treatment goal is to eliminate the cancer and preserve speech. If speech preservation isn't possible, speech rehabilitation may include esophageal speech or prosthetic devices; surgical techniques to construct a new voice box are still experimental.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Esophageal cancer: Treatment
(Professional Guide to Diseases (Eighth Edition))

Multimodal therapy is usually indicated. Whenever possible, treatment includes resection to maintain a passageway for food. This may require such radical surgery as esophagogastrectomy with jejunal or colonic bypass grafts. Palliative surgery may include a feeding gastrostomy. Chemotherapy with 5-fluorouracil or cisplatin may be used. Insertion of prosthetic tubes to bridge the tumor alleviates dysphagia. Other treatments to improve the patient's ability to swallow include endoscopic dilation of the esophagus (sometimes with placement of a stent) and photodynamic therapy.

Treatment complications may be severe. Surgery may precipitate an anastomotic leak, a fistula, pneumonia, and empyema. Rarely, radiation may cause esophageal perforation, pneumonitis and pulmonary fibrosis, or myelitis of the spinal cord. Prosthetic tubes may dislodge and perforate the mediastinum or erode the tumor.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Malignant spinal neoplasms: Treatment
(Professional Guide to Diseases (Eighth Edition))

Treatment of spinal cord tumors generally includes decompression or radiation. Laminectomy is indicated for primary tumors that produce spinal cord or cauda equina compression; it isn't usually indicated for metastatic tumors. If the tumor is slowly progressive or if it's treated before the cord degenerates from compression, symptoms are likely to disappear, and complete restoration of function is possible. In a patient with metastatic carcinoma or lymphoma who suddenly experiences complete transverse myelitis with spinal shock, functional improvement is unlikely, even with treatment, and his outlook is ominous. If the patient has incomplete paraplegia of rapid onset, emergency surgical decompression may save cord function. Steroid therapy with dexamethasone minimizes cord edema and temporarily relieves symptoms until surgery can be performed. Partial removal of intramedullary gliomas, followed by radiation, may alleviate symptoms for a short time. Metastatic extradural tumors can be controlled with radiation, analgesics and, in the case of hormone-mediated tumors (breast and prostate), appropriate hormone therapy. Transcutaneous electrical nerve stimulation (TENS) may control radicular pain from spinal cord tumors and is a useful alternative to opioid analgesics. In TENS, an electrical charge is applied to the skin to stimulate large-diameter nerve fibers and thereby inhibit transmission of pain impulses through small-diameter nerve fibers. Chemotherapy generally hasn't proven effective against most spinal tumors, but may be recommended in some cases.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Esophageal diverticula: Treatment
(Professional Guide to Diseases (Eighth Edition))

Treatment of Zenker’s diverticulum is usually palliative and includes a bland diet, thorough chewing, and drinking water after eating to flush out the sac. However, severe symptoms or a large diverticulum necessitates surgery to remove the sac or facilitate drainage. An esophagomyotomy may be necessary to prevent recurrence.

A midesophageal diverticulum seldom requires therapy except when esophagitis aggravates the risk of rupture, in which case treatment includes antacids and an antireflux regimen: keeping the head elevated, maintaining an upright position for 2 hours after eating, eating small meals, controlling chronic coughing, and avoiding constrictive clothing.

Epiphrenic diverticulum requires treatment of accompanying motor disorders. Achalasia is treated by repeated dilations of the esophagus; acute spasm is controlled by anticholinergic administration and diverticulum excision; and dysphagia or severe pain are relieved by surgical excision or suspending the diverticulum to promote drainage. Treatment may also include parenteral feeding to improve the patient’s nutritional status.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Laryngeal cancer: Treatment

(Handbook of Diseases)

Early lesions are treated with surgery or radiation; advanced lesions, with surgery, radiation, and chemotherapy. Chemotherapeutic agents may include methotrexate, cisplatin, bleomycin, fluorouracil, and vincristine.

The treatment goal is to eliminate the cancer and preserve speech. If speech preservation is impossible, speech rehabilitation may include esophageal speech or prosthetic devices; surgical techniques to construct a new voice box are still experimental. Surgical procedures vary with tumor size and can include cordectomy, partial or total laryngectomy, supraglottic laryngectomy, or total laryngectomy with laryngoplasty.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Esophageal cancer: Treatment
(Handbook of Diseases)

Whenever possible, treatment includes resection to maintain a passageway for food. This may require such radical surgery as esophagogastrectomy with jejunal or colonic bypass grafts. Palliative surgery may include a feeding gastrostomy. Lash palliation decreases tumor size. Other therapies consist of radiation, chemotherapy with cisplatin, and the insertion of prosthetic tubes to bridge the tumor and alleviate dysphagia.

Treatment complications

Complications of treatment may be severe. Surgery may precipitate an anastomotic leak, a fistula, pneumonia, and empyema. Rarely, radiation may cause esophageal perforation, pneumonitis and pulmonary fibrosis, or myelitis of the spinal cord. Prosthetic tubes may dislodge and perforate the mediastinum or erode the tumor.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Esophageal diverticula: Treatment
(Handbook of Diseases)

Treatment depends on the type of diverticulum. For example:

❑ A small, asymptomatic Zenker’s diverticulum may be observed. Treatment includes a bland diet, thorough chewing, and drinking water after eating to flush out the sac. Symptomatic patients may require surgery to remove the sac or to facilitate drainage. An esophagomyotomy to prevent recurrence is required in most cases.

❑ A midesophageal (traction) diverticulum seldom requires therapy except when esophagitis aggravates the risk of rupture. Then, treatment includes antacids and an antireflux regimen: keeping the head elevated, maintaining an upright position for 2 hours after eating, eating small meals, controlling chronic coughing, and avoiding constrictive clothing.

❑ Epiphrenic diverticulum requires treatment of accompanying motor disorders, such as achalasia, by repeated dilatations of the esophagus, of acute spasm by anticholinergic administration and diverticulum excision, and of dysphagia or severe pain by surgical excision; if there’s an associated hiatal hernia or incompetent lower esoph-ageal sphincter, an antireflux operation is performed. Calcium channel blockers may be used to relax smooth muscles, decrease esophageal pressure, and improve swallowing.

❑ Depending on the patient’s nutritional status, treatment may also include insertion of a nasogastric tube (passed carefully to prevent perforation) and tube feedings to prepare for the stress of surgery.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003



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