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Prolife Cancer Centre - Esophageal Cancer Treatment in Pune

What is Esophageal cancer?

 

Esophageal cancer is a disease that happens in the esophagus — a long, round pipe that goes from your esophagus to your abdomen. Your esophagus helps move the food you take from the rear of your throat to your stomach to be digested.

Esophageal cancer normally starts in the cells that line the inside of the esophagus. Esophageal cancer can occur anywhere along the esophagus. More men than ladies get esophageal cancer.

Esophageal cancer is the 6th most usual cause of cancer deaths worldwide. Incidence charges change in different geographic areas. In some areas, In India, higher rates of esophageal cancer cases may be connected to tobacco and alcohol use or particular nutritional habits and obesity. Dr. Sumit Shah provides the best Esophageal Cancer Treatment in Pune at Prolife Cancer Centre which is the best cancer hospital in Pune.

Types of esophageal cancer

Esophageal cancer is listed according to the kind of cells that are included. The type of esophageal cancer you have helps manage your treatment choices. Types of esophageal cancer include:

  • Adenocarcinoma. Adenocarcinoma begins in the cells of mucus-secreting organs in the esophagus. Adenocarcinoma occurs most frequently in the lower part of the esophagus. Adenocarcinoma is the most popular form of esophageal cancer in the US, and it affects primarily white men.
  • Squamous cell carcinoma. The squamous cells are smooth, thin cells that line the surface of the esophagus. Squamous cell carcinoma occurs most frequently in the upper and central parts of the esophagus. Squamous cell carcinoma is the most common esophageal cancer.
  • Other rare types. Some rare forms of esophageal cancer are small cell carcinoma, sarcoma, lymphoma, melanoma, and choriocarcinoma.

Esophageal Cancer Risk Factor

Factors that cause stress in the cells of your esophagus and raise your risk of esophageal cancer include:
    • Having gastroesophageal reflux disease
    • Smoking
    • Having precancerous alterations in the cells of the esophagus
    • Being overweight
    • Taking alcohol
    • Having bile reflux
    • Having trouble eating because of an esophageal sphincter that won’t relax
    • Having a regular habit of taking very hot liquids
    • Not eating sufficient fruits and vegetables
    • Undergoing radiation therapy to the chest or upper stomach

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    What are the Symptoms of Esophageal Cancer?

    Signs and symptoms of esophageal cancer include:
    • Trouble eating
    • Weight loss without working
    • Chest pain, stress or burning
    • Worsening indigestion or heartburn
    • Coughing or hoarseness
    Early esophageal cancer typically causes no signs or symptoms.

    How can it be diagnosed?

    If your doctor finds something different in screening or you have any of the signs of Esophageal cancer, further tests will be required to diagnose the condition.
    • Biopsy: Your surgeon may use a specific scope moved down your throat into your esophagus to get a sample of suspicious tissue. The tissue sample is sent to a lab to look for tumor cells.
    • Blood Tests: This test measures the various kinds of cells in your blood. It can show if you have anemia. Some people with esophageal cancer become weak because the tumor has been bleeding.
    • Imaging: Imaging tests use x-rays, magnetic fields, sound waves, or radioactive substances produce pictures of the inside of your body. Imaging experiments might be taken for many purposes, such as:
    1. To help find a suspicious range that might be cancer
    2. To learn if and how far the cancer has grown
    3. To help decide if the treatment is working
    4. To look for possible symptoms of cancer coming back after treatment
    • Esophagoscopy: This method allows the doctor to view the esophagus straight through an esophagoscope, a small, tube-like tool with a light and a lens. The esophagoscope is entered through the mouth or nose and down the throat into the esophagus. Some esophagoscopes are equipped with tools to extract tissue samples for the test under a microscope for signs of cancer.
      • Endoscopic ultrasound (EUS): In this method, an endoscope, a tiny, tube-like instrument with a light and a lens for viewing, is entered through the mouth. A probe at the end of the endoscope is used to bounce high-energy sound waves off internal tissues or organs to create echoes. The echoes form a picture of body tissues called a sonogram. This method is also called endosonography.

    Stages of Esophageal Cancer

    Stage I: A stage I esophageal cancer tumor is little (7 cm or less across) and limited to the esophagus.

    Stage II: A stage II esophageal cancer tumor has grown larger, but still lives within the esophagus.At this stage of the disease, there is no indication of spread to lymph nodes or different sites.

    Stage III: A stage III esophageal cancer tumor has spread beyond the esophagus and may now spread into nearby muscles or organs. Cancer may or may not have grown to nearby lymph joints.

    Stage IV: A stage IV esophageal cancer tumor may be any size and has grown beyond the esophagus. In this stage of esophageal cancer, the disease may have developed to lymph nodes or different sites like the liver or abdominal cavity.

    Treatment Of Esophageal Cancer

    Surgeons can treat Esophageal Cancer with surgery, radiation, chemotherapy, and drugs. The treatment you get will depend on:

    • Which type of tumor you have and how many there are
    • Whether it’s harmful
    • If it has expanded to different sections of your body

    Surgery to remove very small tumors. If your tumor is very small, limited to the surface layers of your esophagus and hasn’t grown, your doctor may recommend removing cancer and the edge of normal tissue that surrounds it. Surgery can be done using an endoscope passed under your esophagus and into your esophagus.

    Surgery to remove a part of the esophagus.  While an esophagectomy, your surgeon extracts the section of your esophagus that includes the tumor, along with a part of the top part of your stomach, and nearby lymph nodes. The remaining esophagus is reconnected to your stomach. Normally, this is achieved by picking the stomach up to reach the remaining esophagus.

    Surgery to withdraw part of your esophagus and the upper part of your abdomen. During esophagogastrectomy, your doctor extracts the portion of your esophagus, nearby lymph nodes and a greater part of your stomach. The remainder of your abdomen is then pulled up and reattached to your esophagus. If important, part of your colon is used to help connect the 2.

    Radiation

    This method uses high-energy X-rays to destroy tumor cells. You might get this procedure if your tumor has grown or if it’s in a place that doctors can’t reach with surgery.

    Most of the time, you’ll get this procedure from a machine outside your body. In some cases, your surgeon can put radiation implants near tumors inside your body.

    Chemotherapy

     It uses drugs to remove cancer cells or to prevent them from growing. You take them by mouth, or a surgeon injects them into one of your veins.

    Drugs are typically used before or later surgery in people with esophageal cancer. Chemotherapy can also be mixed with radiation therapy. In people with difficult cancer that has grown beyond the esophagus, chemotherapy may be used alone to help relieve signs and symptoms produced by cancer.

    Targeted therapy

     It uses drugs that hit certain genes on tumor cells to destroy cancer. This treatment limits damage to the healthy cells in your body, which can occur with radiation or chemotherapy.

    Your surgeon will decide which drug is best for you by examining cells from your tumor first.

    Specialized Esophageal Cancer Treatments

    With Laparoscopic surgery, Prolife offers unique options. Our globally renowned team of physicians shows your treatment for the most benefit while reducing the impact on your body.

    Dr. Sumit Shah is expertise in treating esophageal Cancer that has spread to other sections of the body. We offer Laparoscopic surgery program & as well as chemotherapy and targeted therapy options.

    After Treatment: Reconstruction and Rehabilitation

    Healing from Surgery

    Most people who have esophageal cancer surgery heal without any problems. These people go home within 2-to-4 days. A fewer number of patients may have a slower recovery and need to wait for a little more.

    A surgeon will give you guidance on how to take care of yourself, including your surgery, bathing, driving, and sexual activity. There will be information about yourself:

    • Diet
    • Exercise
    • Pain medicine

    After Treatment, you will be given a Daily Goals Checklist. Use that checklist to understand how you are doing every day.

    Your Daily Goals Checklist

    While you are in the hospital, you will have regular aims to help you recover. These aims include:

    • Getting out of bed and being active
    • Eating and drinking
    • Controlling your pain

    Follow-up appointments

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    After you’ve completed your treatments for Esophageal cancer, follow-up care is very essential. Routine checkups can help find any changes in your health, and if cancer comes back (or “recurs”), it can be treated as soon as possible.

    If your treatment has finished, follow-up appointments maybe every 3−6 months for the first couple of years and 6−12 months for the following 3 years.

    Your doctor may check your CEA level before you begin treatment and again after treatment to understand if it has come down.

    Doctors recommend CT scans of the chest & abdomen a daily schedule for 3 years in people who are at high risk for recurrence.

    Why choose Prolife Cancer Centre for Your Esophageal Cancer Care?

    At Prolife Cancer Center, your esophageal cancer treatment is personalized to give the best results, while concentrating on your quality of life. We offer minimally invasive laparoscopic surgeries that provide successful treatment with less impact on you.

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