subject: Esophageal Cancer Metastasis, Best Natural Remedies [print this page] Esophageal cancer is a disease which affects the cells of the esophagus. Our body is a structure made of various cell types. Cells grow and divide to produce newer cells whenever required under normal circumstances for the functioning of the body to be healthy. But sometimes the cells keep on dividing that the additional cells become tumor or extra growth. These tumors can be either malignant or benign. Benign tumors might not become cancer and can be removed easily. They also do not spread to various body parts that they become life threatening very rarely.
Malignant tumors on the contrary are cancerous; they divide without any order or control. Cancerous cells can most often invade and in turn destroy the tissues present around them. They can also enter in to the lymphatic system or bloodstream. This is called as the state of metastasis. In the case of esophageal cancer metastasis, the cancerous cells spread to the exteriors of the esophagus and spreads to the lymph nodes first often. And subsequently can spread to any body part including bones, brain, lungs and liver. Most often esophageal cancer metastasis happens during the fourth stage of esophageal cancer.
Due to the increase in the number of esophageal cancer radical resections, the cancer"s pathology is getting very clearer. Esophageal cancer which is limited to the lamina propria mucosae or mucosal epitheliums hardly show any vascular invasion or lymph node metasasis. Depending on the results got out of different pre-operative examinations, appropriate type of treatment strategy is chosen. Hence preoperative examinations are very necessary for the treatment selection process.
EMR is carried on patients with cancers with depth invasion limited to mucosal epithelium and lamina propria mucosae. It is also performed on cancer patients with lamina muscularis mucosea or submucosa surface infiltration which are not accompanied by the lymph nodes that are enlarged and which are operable technically. Once histopathologial findings (of resected specimens) are examined radical surgery as a treatment option is chosen. Normally patients with suspicious metastasis of the lymph nodes would undergo three field lymphadenectomy (chest, abdomen and neck) with radical surgery. Cancer patients with staging till T2 along with submucosa middle layer or deeper would undergo radical surgery. But cancer patients who have high risk for operations and with poor health normally would undergo limiting esophagectomy.
Elderly cancer patients undergo esophagectomy using a right or left thoraco abdominal approach. Superior mediastinum and lymphadenectomy in the neck is not completely performed. Patients with remote organ metastasis would normally undergo radiation and chemo therapy. And patients with more than one cancer in different organs might be treated using a well balanced combination of radiation and chemo therapy.
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by: DavidHensley
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