Esophageal cancer history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
==History== | |||
Obtaining history is an important aspect of making a diagnosis of esophageal cancer. It provides an insight into severity, precipitating factors and associated comorbid conditions. Complete history will help determine the correct therapy and helps in determining the prognosis. The areas of focus should be on onset, duration, and progression of symptoms such as: | |||
*[[Dysphagia (patient information)|Dysphagia]] | *[[Dysphagia (patient information)|Dysphagia]] | ||
*[[Odynophagia (patient information)|Odynophagia]] - fluids and soft foods are usually tolerated, while hard or bulky substances (such as bread or meat) cause pain during swallowing. | *[[Odynophagia (patient information)|Odynophagia]] - fluids and soft foods are usually tolerated, while hard or bulky substances (such as bread or meat) cause pain during swallowing. | ||
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*[[Hematemesis]] | *[[Hematemesis]] | ||
*[[Hoarseness]], [[cough]], [[vocal cord paralysis]], or other symptoms of mediastinal invasion<ref name="pmid8888335">{{cite journal |vauthors=Trate DM, Parkman HP, Fisher RS |title=Dysphagia. Evaluation, diagnosis, and treatment |journal=Prim. Care |volume=23 |issue=3 |pages=417–32 |year=1996 |pmid=8888335 |doi= |url=}}</ref><ref name="pmid8705259">{{cite journal |vauthors=Spechler SJ |title=Barrett's esophagus |journal=Semin. Gastrointest. Dis. |volume=7 |issue=2 |pages=51–60 |year=1996 |pmid=8705259 |doi= |url=}}</ref> | *[[Hoarseness]], [[cough]], [[vocal cord paralysis]], or other symptoms of mediastinal invasion<ref name="pmid8888335">{{cite journal |vauthors=Trate DM, Parkman HP, Fisher RS |title=Dysphagia. Evaluation, diagnosis, and treatment |journal=Prim. Care |volume=23 |issue=3 |pages=417–32 |year=1996 |pmid=8888335 |doi= |url=}}</ref><ref name="pmid8705259">{{cite journal |vauthors=Spechler SJ |title=Barrett's esophagus |journal=Semin. Gastrointest. Dis. |volume=7 |issue=2 |pages=51–60 |year=1996 |pmid=8705259 |doi= |url=}}</ref> | ||
==Common symptoms== | |||
*Dysphagia to solid food | |||
*Retrosternal or burning pain | |||
*Weight loss | |||
*Changes in diet | |||
*Anorexia | |||
==Less common symptoms== | |||
*Regurgitation of food or saliva | |||
*Hoarseness or loss of voice | |||
*Bloody or intractable cough | |||
*Blood in stools | |||
*Frequent pneumonia | |||
==References== | ==References== |
Revision as of 15:56, 12 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Symptoms of esophageal cancer include dysphagia, odynophagia, weight loss, and hematemesis.
History and Symptoms
History
Obtaining history is an important aspect of making a diagnosis of esophageal cancer. It provides an insight into severity, precipitating factors and associated comorbid conditions. Complete history will help determine the correct therapy and helps in determining the prognosis. The areas of focus should be on onset, duration, and progression of symptoms such as:
- Dysphagia
- Odynophagia - fluids and soft foods are usually tolerated, while hard or bulky substances (such as bread or meat) cause pain during swallowing.
- Weight loss
- Pain - often of a burning nature, may be severe and worsened by swallowing, and can be spasmodic in character.
- Nausea and vomiting
- Regurgitation of food, coughing and an increased risk of aspiration pneumonia
- Hematemesis
- Hoarseness, cough, vocal cord paralysis, or other symptoms of mediastinal invasion[1][2]
Common symptoms
- Dysphagia to solid food
- Retrosternal or burning pain
- Weight loss
- Changes in diet
- Anorexia
Less common symptoms
- Regurgitation of food or saliva
- Hoarseness or loss of voice
- Bloody or intractable cough
- Blood in stools
- Frequent pneumonia