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What is the impression at this time? Basis?

What is the impression at this time? Basis?. Carcinoma of the esophagus Progressive dysphagia (initially to solid foods then to liquids) strongly associated with gastroesophageal reflux and Barrett’s esophagus .

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What is the impression at this time? Basis?

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  1. What is the impression at this time? Basis? Carcinoma of the esophagus • Progressive dysphagia (initially to solid foods then to liquids) • strongly associated with gastroesophageal reflux and Barrett’s esophagus. • May present with cough, choking, and stidor if a tracheoesphageal fistula is formed or when there is extension to the tracheobronchial tree. • Associated with smoking and alcohol consumption

  2. What is the impression at this time? Basis? • Anorexia and weight loss • Family history of cancer • Barium swallow finding

  3. Diagnostic procedure? • Endoscopy • Determine the depth of the wall penetration by the tumor and presence of lymph node metastasis can be determined with 80% accuracy. • For visualization of the tumor and to obtain histopathologic confirmation of the diagnosis.

  4. Diagnostic procedure? • CT Scan • extent of tumor spread to the mediastinum and para-aortic lymph nodes

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