Esophageal Cancer

Risk Factors

  • Adenocarcinoma (lower 2/3): Age > 50, assoc w/GERD→ Barret's
  • Squamous cell (upper 2/3): Age >50, assoc w/etoh and smoking

Symptoms

  • Food gets stuck
  • Weight loss
  • Sub-acute and progressive swallowing probs more than pain
  • May vomit to relieve obstruction
  • Worse w/solids then liquids

Physical Exam Findings

  • May have weight loss if advanced
  • May have black stools (if significant bleeding) and guaiac +