DISEASE SCANNER

Global Incurable Diseases Tracker

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Cancer

Esophageal Cancer

HIGH SEVERITY

Cancer of the esophagus, with two main types: adenocarcinoma (associated with Barrett's esophagus, Western countries) and squamous cell carcinoma (associated with smoking, alcohol, hot beverages, Eastern countries). Often diagnosed at advanced stage with poor prognosis.

Global Affected

600.0K

Countries

15

Symptoms

Progressive dysphagia (solids then liquids)
Unintentional weight loss
Chest pain/discomfort
Odynophagia
Coughing
Hoarseness (recurrent laryngeal nerve involvement)

Treatment Options

Surgery
Chemotherapy
Radiation therapy
Immunotherapy
Targeted therapy
Hormone therapy
Stem cell transplant
Palliative care

Risk Factors

1Age
2Family history
3Genetic mutations
4Smoking
5Alcohol consumption
6Obesity
7Physical inactivity
8Environmental exposures
9Infections (HPV, HBV, HCV, H. pylori)

Diagnostic Methods

  • 1Biopsy
  • 2Imaging (CT, MRI, PET)
  • 3Tumor markers
  • 4Genetic testing
  • 5Endoscopy
  • 6Blood tests
  • 7Screening programs

Prognosis

Early-stage (T1-2N0) treated with surgery or chemoradiation has 40-50% 5-year survival. Locally advanced disease with chemoradiation has 20-30% 5-year survival. Metastatic disease has median survival of 12-18 months with chemotherapy. Squamous cell carcinoma is more chemoradiosensitive than adenocarcinoma. HER2-positive tumors benefit from trastuzumab. MSI-H tumors respond well to immunotherapy. Nutritional support is critical; feeding tubes often required during treatment.

Prevention

  • Smoking cessation
  • Sun protection
  • Healthy diet
  • Regular exercise
  • Vaccination (HPV, HBV)
  • Screening programs
  • Limit alcohol
  • Maintain healthy weight

Research Status

Immunotherapy (nivolumab, pembrolizumab) approved for advanced disease. CheckMate 648 established nivolumab plus chemotherapy first-line for esophageal squamous cell carcinoma. CROSS regimen (chemoradiation) for locally advanced.

Sources

  • https://www.cancer.gov
  • https://www.who.int/cancer
  • https://www.cancer.org

Medical Disclaimer

This information is for educational purposes only. Always consult healthcare professionals for medical advice, diagnosis, and treatment.