CANCERUL ESOFAGIAN

Prevalen
~ 15% din cancerele dige !ive cele "ai "#l!e $ carcin%a"e c#a"%a e ra&%r!#l 'e"ei ( )r)ai * +(1 v,r !a "edie de a&ariie -.$ -5 ani

Fac!%ri e!i%l%gici (
'#"a!#l e/ce #l de alc%%l 'ac!%ri ali"en!ari 0de'ici!#l de &r%!eine1 a&%r! c2#! de vi!a"ine A1 31
C4 e/ce #l de ni!r%2a"ine5 e/&#nere la radiaii i%ni2an!e ageni in'eci%6i 0Pa&il%"a vir# 5 'ac!%ri gene!ici

CANCERUL ESOFAGIAN
S!ri &a!%l%gice &redi &%2an!e(

Cancere 7n 'era ORL E %'ag#l 3arre!! 8egae %'ag#l 9iver!ic#lii e %'agieni S!en%2ele &% ! ca# !ice S!en%2ele &e&!ice

CANCERUL ESOFAGIAN
Si"&!%"e 0&re2en!e n#"ai 7n ca2#rile avan a!e5(
di 'agie reg#rgi!aiile d#rere !%racic cdere &%nderal di '%nie ane"ie

9iagn% !ic &%2i!iv

End% c%&ic :i !%&a!%l%gic Ec%end% c%&ie 6i C; &en!r# !aging#l &re$!era&e#!ic

CANCERUL ESOFAGIAN < Aspecte endoscopice

CANCERUL ESOFAGIAN < Morfopatologie

Aden%carcin%" &e e %'ag 3arre!!

Aden%carcin%" c# &erl de =era!in

CANCERUL ESOFAGIAN < Bariu pasaj

CANCERUL ESOFAGIAN < Ecoendoscopie

Cancer e %'agian li"i!a! la &ere!ele e %'agian Cancer e %'agian invad,nd a%r!a

CANCERUL ESOFAGIAN
8%r'%&a!%l%gie(
"ai "#l! de 5.% e a'l 7n 1>+ in'eri%ar a e %'ag#l#i cel "ai 'recven! '%r"e #lcer%$vege!an!e ?.% carcin%a"e c#a"%a e "ai &%! a&rea( aden%carcin%a"e rar( arc%a"e1 li"'%a"e1 "elan%a"e

Ev%l#ie
ra&id1 ra!a de #&ravie#ire la 5 ani< 5%

C%"&licaii
Fi !#la e %$)r%n6ic Pne#"%nia de a &iraie Per'%raia S,ngerarea S!en%2 c%"&le!

Fi !#l e %$)r%n6ic

CANCERUL ESOFAGIAN
;ra!a"en! c@ir#rgical( $ !ra!a"en!#l de elecie
$ e %'agiec!%"ie 7n li"i!e %nc%l%gice

Radi%!era&ie < &alia!iv C@i"i%!era&ie < 3le%"Acin1 Ci End% c%&ic

Ca2#ri inci&ien!e( $ "#c% ec!%"ie

&al!in1 5 Fl#%r%#racil

$ '%!%c%ag#lare Palia!iv( $ &r%!e2are end% c%&ic $ dila!are end% c%&ic $ recanali2area l#"en#l#i e %'agian c# la er

CANCERUL ESOFAGIAN< Tratament endoscopic

9ila!a!%are SavarA$Gillard

End%&r%!e2e