esophageal adenocarcinoma ..info?

Just found out someone I know was diagnosed with this. I know that it is a cancer of the throat but I would like to get some more in depth information on it like how well it responds to treatment and how aggressive it is.. things like that.

Comments

  • There are a handful of cancers that present a challenge, but cancers of the esophagus are among the top or the list - surgically. As a rule of thumb, if the cancer is not operable, the prognosis is usually lesser. There are a few exceptions, but cancers that tend to depend on chemotheraphy and radiation as the only treatment options often fails due to complications. Cancers of the esophagus are the least operable. One complication being the treatment it self.

    The aim of chemotheraphy is to destroy cancer cells, the cells that rapidly grow. This is not extremly difficult to do. However, stopping the micrometastases, on-the-other-hand, proves the opposite.

    Micrometastases is also know as the spread of cancer to various sites in the body. This is often because of the other biological changes that takes place within the human body. Most cancer drugs are only proven the better the quality of life for the cancer patient or tumor shrinkage. Not the metastasis. The part that present itself as the most daunting is that frequently, by the time these cancers are discovered or by the time the first symptom appear, the cancer is too far advanced. Furthermore, when treatment is increased to slow the growing process, it becomes just as fatal as the cancer. Especially, as toxicity is concerned. Nevertheless, the location seems most relevant entity to prognosis.

    For example, in patients with cancers of the upper and middle thirds of the esophagus, which are predominately squamous cell carcinomas, local-regional recurrence predominates over distant recurrence. Patient with lesions of the lower thirds, where adenocarcinomas are frequently located, distant recurrence is more common. These cancer usually spread to the liver, lungs, and bone marrow.

    This is the cancer my Uncle had and it was a slow dreadful process. We watched the entire process evolve over time, beginning from the time when he was placed on a feeding tube because the tumor had enlarged so much it had cut the opening in the throat preventing him from swallowing to the point when the Doctor walked in and told us that the treatment was not doing any good; he was going to stop all form of treatment. this was a very shocking moment. No chemo, no life saving methods to be carried, and a DNR (Do Not Resuscitate) issued. This is a keen was of saying there is no help for this patient; nothing is going to reverse this cancer. My uncle was sent to Hospice where we watched him take his last shallow breathes. What gets me is how the Doctor administered chemo for the longest.

    I knew he was just looking out for our best interest. He knew that the family had hope of my Uncle getting better. I feel that he was only waiting for the right time to tell us, "There is nothing more he could do." He could have told us way before that. Had our hope up high think the treatment was going to heal the cancer. The best thing the chemo can do is slow its growth.

    Hope this answers your question!

  • It is not cancer of the throat. The esophagus is the structure that connects the mouth to the stomach. Prognosis depends on the size of the tumor and if it has spread or not. Treatment depends on these as well. Surgery is the best option if the tumor can be safely resected. Chemo and radiation can be used after surgery or in cases where surgery cannot be safely done (this is considered palliative treatment).

    Here is more info:

    http://www.nlm.nih.gov/medlineplus/ency/article/00...

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