Squamous cell carcinoma, which develops due to alcohol consumption and / or smoking, most often localized in the upper and middle third of the esophagus.
Diagnostic symptoms are a feeling of blockage during passage at the esophagus level (dysphagia in the solid tissues), palpation of the mass, swollen lymph nodes in the neck. Pain during passage of food (odynophagia). Rapid weight loss within a few months, along with fatigue, are possible clinical signs.
or esophageal adenocarcinoma, which often appears after prolonged gastroesophageal reflux. This reflux can occur due to abdominal obesity and / or esophageal hernia.
Adenocarcinomas are most often located in the lower third of the esophagus or at the junction of the esophagus and stomach. Advanced diagnostics include performing PET with 18 FDG to clearly distinguish between the tumor and pathological lymph nodes and to check for the possible presence of metastases.
When choosing a treatment, two approaches can be proposed: radiation therapy from 23 to 28 sessions in combination with chemotherapy or carboplatin such as taxol, or folfox 4, followed by therapeutic excision surgery, if possible. Or radiotherapy in 28 sessions, together with exclusive chemotherapy, or carboplatin taxol or folfox 4 (LV5 FU2 and oxaliplatin). The second approach to treatment excludes surgery. Then monitoring is proposed with a clinical examination, blood test and subsequent screening after 8 weeks of treatment, and then every three months.