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Oesophageal Cancer

Oesophageal cancer develops in the oesophagus, the muscular tube that connects the throat to the stomach and transports food and liquids for digestion.

Oesophageal Cancer

Overview of Oesophageal Cancer

Oesophageal cancer develops in the oesophagus, the muscular tube that connects the throat to the stomach and transports food and liquids for digestion. It usually begins in the lining of the oesophagus and can form tumors that may invade nearby tissues and metastasize to other parts of the body.

How Does Oesophageal Cancer Occur?

This cancer arises when the DNA in the esophageal cells undergoes mutations, causing uncontrolled cell growth. These abnormal cells can form tumors and eventually spread, complicating treatment and prognosis.

Possible Causes of Oesophageal Cancer

  • Tobacco and Alcohol Use: Significant contributors to cellular damage in the esophagus.

  • GERD (Gastroesophageal Reflux Disease): Chronic reflux can injure the esophageal lining.

  • Barrett’s Esophagus: A condition that increases the risk of adenocarcinoma.

  • Obesity: Elevates GERD risk and subsequent cancer risk.

  • Diet: Low intake of fruits and vegetables is a potential factor.

  • Age and Gender: More frequent in men, particularly over age 50.

Stages and Grades of Oesophageal Cancer

  • Stage I: Cancer is limited to the inner layers of the esophagus.

  • Stage II: It spreads into the esophageal wall and possibly nearby lymph nodes.

  • Stage III: Cancer reaches deeper tissues or adjacent structures.

  • Stage IV: The disease spreads to distant organs.

  • Low Grade: Cells resemble normal cells and grow slowly.

  • High Grade: Abnormal-looking cells grow and spread quickly.

Types of Oesophageal Cancer

  • Adenocarcinoma: Originates in the mucus-secreting glands, usually in the lower oesophagus.

  • Squamous Cell Carcinoma: Arises from the flat cells lining the upper and mid-oesophagus.

Signs & Symptoms

  • Difficulty swallowing (dysphagia)

  • Unintended weight loss

  • Chest pain or discomfort

  • Chronic cough or hoarseness

  • Indigestion or heartburn

  • Vomiting or regurgitation

If you observe any of these symptoms, consult an oncologist promptly. Early detection improves outcomes significantly.

Diagnostic Tests & Procedures

At Konkan Cancer Centre (KCC), we employ advanced diagnostic tools:

  • Endoscopy: Visual examination using a camera to inspect and biopsy the esophagus.

  • Barium Swallow (Esophagram): X-rays after swallowing a contrast solution to detect abnormalities.

  • Biopsy: Microscopic analysis of tissue samples.

  • CT and PET Scans: Imaging to assess spread and staging.

  • Endoscopic Ultrasound (EUS): Assesses tumor depth and lymph node involvement.

Gold Standard Test: Endoscopy with biopsy – provides direct visualization and tissue sampling.

After Diagnosis: Next Steps

  • Discuss the diagnosis and understand cancer stage and grade.

  • Evaluate personalized treatment plans.

  • Consider a second opinion.

  • Begin scheduling treatments.

  • Seek support and make necessary lifestyle changes.

Available Treatments at Konkan Cancer Center

Surgery

  • Esophagectomy: Removal of part or all of the esophagus.

  • Esophagogastrectomy: Partial removal of the esophagus and upper stomach.

Chemotherapy

  • Neoadjuvant: Before surgery to shrink tumors.

  • Adjuvant: Post-surgery to eliminate residual cancer cells.

  • Palliative: For symptom control in advanced stages.

Radiation Therapy

  • External Beam Radiation

  • Brachytherapy: Internal radiation for localized treatment.

Targeted Therapy

Used for cancers with specific genetic mutations to block growth signals.

Immunotherapy

Boosts the immune system to fight cancer, especially in advanced or resistant cases.

Personalized Treatment Plans

Each plan considers:

  • Stage and grade

  • Overall health

  • Patient preferences

Our multidisciplinary team ensures tailored, compassionate care.

Prognosis of Treatment

Influencing Factors

  • Stage and Grade: Earlier stages have better outcomes.

  • Patient Health: Determines treatment tolerance and recovery.

  • Treatment Response: Effective treatment improves prognosis.

Survival Outcomes

  • Localized: 5-year survival improves with early, aggressive treatment.

  • Regional Spread: Outcomes vary; treatment still beneficial.

  • Metastatic: Focus on palliative care and symptom relief.

Follow-Up Care

  • Regular monitoring for recurrence

  • Side effect management

  • Ongoing emotional and nutritional support

Konkan Cancer Hospital is committed to lifelong care and recovery assistance.

FAQs – Thyroid Cancer at a Glance

For more information or support, contact Konkan Cancer Centre. We are here to walk beside you every step of the way.

Endoscopy, biopsy, CT scan, PET scan, and barium swallow.

Highly effective when used in combination. Biopsy confirms cancer.

Surgery, chemotherapy, radiation, targeted therapy, and immunotherapy.

Yes, especially if caught early. Advanced stages are managed to prolong life and relieve symptoms.

Fatigue, nausea, appetite changes, and swallowing difficulties.

Through diet, rest, hydration, and medications.

Yes. Quit smoking and alcohol, eat healthily, and stay active.

Yes, with possible adjustments depending on treatment.

 Konkan Cancer Center offers counseling, support groups, and educational resources.

Ask questions, take notes, and involve a family member for support.

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