Esophageal cancer history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Patient history in esophageal cancer includes pain in the throat or chest, regurgitation of food and hoarseness of voice. Symptoms of esophageal cancer include [[Dysphagia (patient information)|dysphagia]], [[Odynophagia (patient information)|odynophagia]], [[weight loss]], and [[hematemesis]]. It should be noted that superficial esophageal cancer may have an insidious onset, so screening for Barrett's esophagus is important in this case to diagnose cancer earlier. | Patient history in esophageal cancer includes pain in the throat or chest, regurgitation of food and [[Dysphonia|hoarseness]] of voice. Symptoms of esophageal cancer include [[Dysphagia (patient information)|dysphagia]], [[Odynophagia (patient information)|odynophagia]], [[weight loss]], and [[hematemesis]]. It should be noted that superficial esophageal cancer may have an insidious onset, so screening for [[Barrett's esophagus]] is important in this case to diagnose cancer earlier. | ||
==History and Symptoms== | ==History and Symptoms== | ||
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==History== | ==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: | 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:<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> | ||
*[[Dysphagia (patient information)|Dysphagia]] | *[[Dysphagia (patient information)|Dysphagia]] | ||
*[[Odynophagia (patient information)|Odynophagia]] | *[[Odynophagia (patient information)|Odynophagia]] | ||
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*[[Hoarseness]] | *[[Hoarseness]] | ||
*[[Vocal cord paralysis]] | *[[Vocal cord paralysis]] | ||
*Other symptoms of mediastinal invasion | *Other symptoms of mediastinal invasion | ||
==Common symptoms== | ==Common symptoms== | ||
*Dysphagia to solid food | *[[Dysphagia]] to solid food | ||
*Retrosternal or burning pain | *Retrosternal or burning pain | ||
*Weight loss | *[[Weight loss]] | ||
*Changes in diet | *Changes in diet | ||
*Anorexia | *[[Anorexia]] | ||
==Less common symptoms== | ==Less common symptoms== | ||
*Regurgitation of food or saliva | *[[Regurgitation (digestion)|Regurgitation]] of food or saliva<ref name="pmid7557137">{{cite journal |vauthors=Cameron AJ, Lomboy CT, Pera M, Carpenter HA |title=Adenocarcinoma of the esophagogastric junction and Barrett's esophagus |journal=Gastroenterology |volume=109 |issue=5 |pages=1541–6 |year=1995 |pmid=7557137 |doi= |url=}}</ref><ref name="pmid7815789">{{cite journal |vauthors=Lieberman MD, Shriver CD, Bleckner S, Burt M |title=Carcinoma of the esophagus. Prognostic significance of histologic type |journal=J. Thorac. Cardiovasc. Surg. |volume=109 |issue=1 |pages=130–8; discussion 139 |year=1995 |pmid=7815789 |doi=10.1016/S0022-5223(95)70428-0 |url=}}</ref> | ||
*[[Dysphonia|Hoarseness]] or loss of voice | |||
*Bloody or intractable [[cough]] | |||
*[[Melena|Blood in stools]] | |||
*Frequent [[pneumonia]] | |||
==References== | ==References== | ||
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[[Category:Oncology]] | [[Category:Oncology]] | ||
[[Category:Medicine]] | [[Category:Medicine]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Surgery]] | [[Category:Surgery]] |
Revision as of 14:24, 18 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
Patient history in esophageal cancer includes pain in the throat or chest, regurgitation of food and hoarseness of voice. Symptoms of esophageal cancer include dysphagia, odynophagia, weight loss, and hematemesis. It should be noted that superficial esophageal cancer may have an insidious onset, so screening for Barrett's esophagus is important in this case to diagnose cancer earlier.
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:[1][2]
- 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
- Aspiration pneumonia
- Hematemesis
- Hoarseness
- Vocal cord paralysis
- Other symptoms of mediastinal invasion
Common symptoms
- Dysphagia to solid food
- Retrosternal or burning pain
- Weight loss
- Changes in diet
- Anorexia
Less common symptoms
- Regurgitation of food or saliva[3][4]
- Hoarseness or loss of voice
- Bloody or intractable cough
- Blood in stools
- Frequent pneumonia
References
- ↑ Trate DM, Parkman HP, Fisher RS (1996). "Dysphagia. Evaluation, diagnosis, and treatment". Prim. Care. 23 (3): 417–32. PMID 8888335.
- ↑ Spechler SJ (1996). "Barrett's esophagus". Semin. Gastrointest. Dis. 7 (2): 51–60. PMID 8705259.
- ↑ Cameron AJ, Lomboy CT, Pera M, Carpenter HA (1995). "Adenocarcinoma of the esophagogastric junction and Barrett's esophagus". Gastroenterology. 109 (5): 1541–6. PMID 7557137.
- ↑ Lieberman MD, Shriver CD, Bleckner S, Burt M (1995). "Carcinoma of the esophagus. Prognostic significance of histologic type". J. Thorac. Cardiovasc. Surg. 109 (1): 130–8, discussion 139. doi:10.1016/S0022-5223(95)70428-0. PMID 7815789.