The symptom of each phase of esophagus cancer?

summary

Esophageal cancer is a common digestive tract tumor. About 300000 people die of esophageal cancer every year in the world. The incidence rate and mortality rate vary widely among countries. China is one of the high incidence areas of esophageal cancer in the world, with an average mortality of about 150000 people every year. Male is more than female, the age of onset is more than 40 years old. The typical symptom of esophageal cancer is progressive dysphagia, first difficult to swallow dry food, then semi liquid food, and finally water and saliva. The symptom of each phase of esophagus cancer? Let's talk about it

The symptom of each phase of esophagus cancer?

The symptoms are often not obvious, but there may be different degrees of discomfort when swallowing coarse and hard food, including choking feeling of swallowing food, burning, needling or traction and friction pain behind the sternum. Food passes slowly with a sense of stagnation or foreign matter. Choking stagnation is usually relieved by swallowing water. The symptoms were mild and severe, and the progress was slow.

The typical symptom of esophageal cancer is progressive dysphagia, first difficult to swallow dry food, then semi liquid food, and finally water and saliva. Often spit mucoid sputum, saliva for the hypopharynx and esophageal secretions. The patient gradually became thin, dehydrated and weak. Persistent chest or back pain is an advanced symptom, and the cancer has invaded extra esophageal tissue. When the inflammatory edema caused by cancer obstruction subsides temporarily, or part of the cancer falls off, the symptoms of obstruction can be alleviated temporarily, which is often mistaken for improvement.

If the cancer invades the recurrent laryngeal nerve, hoarseness may occur; If the cervical sympathetic ganglion is compressed, Horner syndrome may occur; If it invades trachea and bronchus, it may form esophagus, trachea or bronchus fistula, severe cough when swallowing water or food, and respiratory system infection. Finally, cachexia appeared. If there is liver, brain and other organ metastasis, jaundice, ascites, coma and other states can appear.

matters needing attention

Surgery is the first choice for the treatment of esophageal cancer. If the general condition is good, the cardiopulmonary function reserve is good, and there is no obvious sign of distant metastasis, surgical treatment can be considered. In general, cervical cancer length < 3cm, upper thoracic cancer length < 4cm, lower thoracic cancer length < 5cm are more likely to be resected. However, some tumors are not too large but can not be resected because of their close adhesion to the main organs such as aorta and trachea. For larger squamous cell carcinoma, the possibility of resection is not estimated, but the patient's general condition is good, preoperative radiotherapy can be used first, and surgery can be performed after the tumor size is reduced.