Wednesday, September 4, 2013

Carcinoma esophagus 2 Presentation


CLINICAL PRESENTATION

The  predominant  symptom is dysphagia and may be preceded  by  a

vague  retrosternal or epigastric discomfort on intake  of  food. 

Weight  loss is manifest as the dysphagia becomes  more  complete

and continuous.

 

Box

Presenting symptoms of Esophageal carcinoma

Symptom                                                                                          Incidence (%)

Dysphagia                                                                                                    87

Weight loss                                                                                                  71

Substernal or epigastric pain/burning                                                          46

Vomiting or regurgitation                                                                             28

Aspiration pneumonia                                                                                  14

Palpable cervical nodes                                                                                14

Hoareseness                                                                                                   7

Coughing and choking                                                                                   3

 

Diagnosis  can  be  confirmed in  any  patient  with  perisistent

dysphagia  by a barium study or oesophagoscopy. Biopsy  will  als

provide  diagnosis  regards the type of  carcinoma  (squamous  or

adenocarcinoma).
 
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1 comment:

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