Oesophageal cancer. Why does it happen? What is the oesophagus? What causes cancer of the oesophagus? What are the symptoms?
|
|
- Curtis Jones
- 7 years ago
- Views:
Transcription
1 In association with: INFORMATION ABOUT Oesophageal cancer What is the oesophagus? What causes cancer of the oesophagus? What are the symptoms? How is the diagnosis made? What tests might I need? What treatments are available? Why does it happen?
2 What is the oesophagus? The oesophagus (gullet) is the tube that carries food from your mouth to your stomach. When food is consumed the muscles at the top of the oesophagus contract, forcing food and fluid downwards into the stomach. At the lower end of the oesophagus there is a muscular valve (the sphincter), which prevents food and fluid being pushed upwards from the stomach. Around 20% to 30% of the population appear to have a weakness of the lower oesophageal sphincter (valve), which allows acidic stomach contents to splash back up into the oesophagus, causing heartburn and regurgitation (reflux), which is the subject of a separate Core leaflet. What is cancer (carcinoma) of the oesophagus? The normal oesophagus is lined by squamous (skin like) cells. Cancer of the oesophagus develops from this lining and has the effect of narrowing the oesophagus and causing difficulty in swallowing. There are two main types of cancer of the oesophagus: Squamous carcinomas These develop directly from the squamous (skin like) cells which line the oesophagus. They account for most cancers occurring in the upper two thirds of the oesophagus. Adenocarcinomas These develop lower in the oesophagus, near to where it joins the stomach. The term adenocarcinoma is used because these cancers develop from glandular stomach like cells. About 7500 people develop oesophageal cancer every year in the United Kingdom. 2
3 What causes cancer of the oesophagus? This cancer is particularly common in some parts of Africa and China, and is likely to be partly caused by the local diet or the way that food is preserved and cooked. In Western societies, important risk factors for cancer of the oesophagus include smoking cigarettes and drinking alcohol, particularly spirits. What causes cancer of the oesophagus? Squamous carcinomas What people eat has a big effect on the risk of developing a squamous cell carcinoma. High consumption of alcohol (particularly spirits), eating pickled or contaminated vegetables and drinking exceptionally hot liquid account for many worldwide differences. In the UK smoking and consumption of alcohol (particularly spirits) have a big effect in increasing risk. Adenocarcinomas This form of cancer is increasing rapidly, largely because of increased levels of obesity in the population at large. Obese patients are more likely to develop reflux (see separate leaflet). Some patients with reflux go on to develop a condition called Barrett s oesophagus. In this condition the gullet reacts to the presence of acid by changing from squamous (skin like) to glandular (stomach like) cells. Unfortunately Barrett s oesophagus is unstable and about 3% of patients with the condition go on to develop precancerous and then cancerous legions. Because of its rising incidence and overall importance for health, Barrett s oesophagus and adenocarcinoma of the oesophagus are major areas of research application. Other Influences Cancers of the oesophagus are a bit more common in patients with coeliac disease and some rare genetic conditions and can be a complication of a condition known as achalasia, in which there is a failure of relaxation of the oesophageal sphincter. What are the symptoms? The symptoms of oesophageal cancer are similar, whether it is a squamous carcinoma or adenocarcinoma. The cancer obstructs the passage of food down the gullet so that it seems to get stuck after it is swallowed. At first this happens with solids such as meat and bread, then with softer foods and eventually there may be difficulty getting liquids down. Patients begin to lose weight and may have other symptoms, such as choking, coughing, unexplained chest infections or a hoarse voice. Unfortunately, oesophageal cancers have often spread before they come to light. Difficulties in swallowing should always be investigated promptly as there are many causes other than cancer. 3
4 Although reflux is important in the development of Barrett s oesophagus and adenocarcinoma, these conditions often develop without any previous symptoms of reflux such as heartburn. How is the diagnosis made? Most patients seek medical attention because of difficult swallowing. Going to the GP early when symptoms begin is important, to increase the chances of early diagnosis and effective treatment. The GP is likely to make a referral to a specialist for investigations, most commonly by endoscopy, in which a narrow, flexible telescope is passed into the gullet through the mouth, using a local anaesthetic throat spray. Changes in the lining of the gullet can be seen and samples taken (biopsy) for laboratory examination. Nowadays the endoscope often has an ultrasound scanner attached to it to scan the cancer from inside and see how deep it goes. Sometimes a patient may have a barium swallow examination. This involves swallowing a white liquid containing barium, which shows up on x-ray, outlining the oesophagus and revealing any obstruction. If cancer is diagnosed, other tests may be needed to see if it has spread. These include: CT scan of the chest and abdomen This is a whole body scan done to assess the size of the cancer and whether it has spread. Staging laparoscopy This is a keyhole examination, performed under a general anaesthetic, to see if the cancer has spread to areas that are not usually seen on a CT scan. This helps the doctor to decide if surgery is appropriate. If surgery is considered, suitable heart and lung function tests are done to check on fitness for surgery. Treatment Oesophageal cancers are difficult to treat, mainly because they have often spread by the time of diagnosis. Oesophageal cancer is managed by a team including specialist surgeons, endoscopists who can treat small cancers and oncologists who specialise in chemotherapy and radiotherapy treatment. Often combination treatment is the most appropriate. Treatment varies according to staging the tumour using the results of the tests described above. In early stage tumours, treatment is directed at trying to cure the condition. In later stages the aim is symptom control. Curative treatment Surgery is the appropriate treatment in about 20% of patients and about 35% of these can expect to live for more than 5 years and, in effect, be cured. Patients usually undergo chemotherapy and radiotherapy before surgery because recent research has shown this improves the outlook. This is an area of active research. For example one question is whether adding in radiotherapy to surgery and chemotherapy might improve the outlook further. Depending on the position of the tumour, the surgeon may need to enter the chest cavity, the abdomen or the neck, and will remove the affected part of the oesophagus with the surrounding lymph glands. A tube is then made out of the stomach, which is drawn up into the chest or neck where it is joined to the remainder of the oesophagus. 4
5 Patients are usually cared for in an intensive care ward after this operation and after leaving hospital are able to eat normally, although may feel full rather quickly. This sensation usually improves over the following months. Sometimes dysphagia (as mentioned earlier in the leaflet) returns weeks or months after the operation. This may be because the cancer has recurred, but often is due to scarring (a stricture ) where the surgeon has made the join. These strictures can be easily stretched using an endoscope. Curative endoscopic treatments For a long time endoscopy has been used to manage symptoms in patients where the cancer cannot be cured (see below). Increasingly, it is used to treat early cancers or pre-cancerous lesions. The endoscopist dissects (cuts) around and underneath the cancer down to normal structures beneath and removes it. This avoids the need for surgery and can be done as an outpatient or with a brief hospital stay but is only suitable for the treatment of early cancers. Radiotherapy and Chemotherapy As noted above, giving chemotherapy before surgery is a new approach that has improved the outlook. In some patients where surgery is unsuitable, high dose radiotherapy can be used for attempted cure (a radical radiotherapy). Sometimes lower dose radiotherapy and/or chemotherapy in lower doses are used in a palliative way to treat symptoms. Radiotherapy can be given as an external beam or from inside the gullet, using a radiation source (brachytherapy). Treatment of symptoms Endoscopic stenting plays a very important role in symptom control. A tube (stent) is inserted into the gullet, via an endoscope to keep it open, so that food and fluid can be swallowed without difficulty. Stenting is usually done under sedation in the endoscopy department. Stents are made of either plastic or springy metal coils. They can become blocked by large food particles. It is helpful to take fizzy water with meals to displace these particles. Specific instructions on diet are always provided. Sometimes stents lead to troublesome heartburn and regurgitation, which can be helped considerably by taking PPI acid suppressing medication. Endoscopic laser treatment is also possible, and a specialist endoscopist will use a laser to destroy any tumour that is growing into the gullet. In some patients laser treatment and intubation need to be combined. Other treatments Newer treatments which are increasingly used include: Endoscopic mucosal resection This technique is used to remove premalignant lesions and small tumours at endoscopy. Radiofrequency ablation Essentially this involves microwaving the lining of the oesophagus so that it changes from Barrett s back to squamous mucosa. Photodynamic therapy (PDT) This is an alternative to radiofrequency ablation. Patients are given a drug that sensitises cells so that light delivered down an endoscope can be used to destroy them. 5
6 Prevention of oesophageal cancer Because oesophageal cancer is so challenging to treat once it has developed, there are major efforts in research and screening to identify patients at risk of oesophageal cancer before it develops. Patients with Barrett s Oesophagus usually undergo regular inspection of the oesophagus through an endoscope, to pick up pre-cancerous changes, known as dysplasia, and prevent progression to cancer. This is known as endoscopic surveillance. There are trials to define how often this should be done. Current research is also investigating whether simple drug treatments such as aspirin given with an acid suppressing agent can prevent the development dysplasia or cancer. Other research is evaluating how best to use the endoscopic treatments, including radiofrequency ablation and endoscopic removal of tumours as described above. Summary points The earliest symptom of cancer of the oesophagus is likely to be difficulty in swallowing food, and prompt consultation with a GP and early investigation are important if a cure is to be achieved. Curative treatment of cancer of the oesophagus usually involves chemotherapy followed by a surgical operation to remove the affected part of the oesophagus. Unfortunately a cure is not always possible, but there are endoscopic treatments such as stenting as well as radiotherapy or chemotherapy which can relieve symptoms. Research is in progress into ways of preventing cancer of the oesophagus, by picking up early pre-cancerous changes or by giving medications which prevent the development of cancer. Need for research The incidence of oesophageal cancer, particularly adenocarcinoma, is rising. Treatment is challenging but there have been recent advances. For all these reasons oesophageal cancer is a major focus of research activity. What current research is trying to do includes: A simple screening test for Barrett s oesophagus that can be applied to the general population so that cancers can be anticipated before they develop. Better ways of detecting very early pre-cancerous lesions at endoscopy. Use of endoscopic treatment to avoid challenging surgery. Working out the best combination of chemotherapy, radiotherapy and surgery to increase the chances of a cure. Raising public awareness of the factors that increase the risk of oesophageal cancer and encouraging people to present at the first sign of any symptoms. A fundamental understanding of how Barrett s oesophagus develops and progresses into oesophageal cancer. Which patients with Barrett s oesophagus to monitor and how. Preventative treatments for patients with Barrett s oesophagus to prevent development of oesophageal cancer. Britain leads the way in research into Barrett s oesophagus and oesophageal cancer. There is a great deal of research in this area but more needs to be done and funds are badly needed. Updated February
7 You can help combat gut and liver disease by making a donation. Core needs your support Quality of life may be seriously threatened when things go wrong with our insides. Diseases of the gut or liver cause pain and distress for many people in the UK and tragically account for around one in eight deaths. Core is here to help. Core works to prevent, cure or treat gut and liver diseases by funding high quality medical research. If you have found this leaflet useful, please use the form overleaf to make a donation to help Core s work. Core relies on charitable donations and urgently needs funds both to undertake more research and to continue its information programme. Send your completed form and donation to: Core FREEPOST LON4268 London NW1 0YT tel: fax: info@corecharity.org.uk Your legacy can help cure serious gut disease Your Will can be an important tool in helping us to find cures and better treatments for serious gut and liver diseases. We need to know the funds are in place so we can continue to pay for the research that will save lives and help people. Mention Core in your Will and be a partner in our fight against gut and liver disease. For information on including Core in your Will, please contact us on , by at info@corecharity.org.uk or by post to the address above. All Core s leaflets can be downloaded from the website: This is published by Core, the digestive diseases charity in association with the British Society of Gastroenterology and the Primary Care Society for Gastroenterology. This booklet is provided for information only. The information found is not a substitute for professional medical care by a qualified doctor or other health care professional. ALWAYS check with your doctor if you have any concerns about your condition or treatment. The publishers are not responsible or liable, directly or indirectly, for ANY form of damages whatsoever resulting from the use (or misuse) of information contained in or implied by the information in this booklet. This leaflet has been produced by Core. All Core s patient information is reviewed by two independent experts, one GP and a hospital specialist. 7
8 supported & printed by T: E: andy.jarred@cmprint.co.uk
What is Helicobacter pylori? hat problems can H. pylori cause? Does H. pylori cause cancer? ight H. pylori even be good for us?
In association with: Primary Care Society for Gastroenterology INFORMATION ABOUT Helicobacter pylori? What is Helicobacter pylori? hat problems can H. pylori cause? Does H. pylori cause cancer? ight H.
More informationWhat are peptic ulcers?
Information about Peptic ulcers www.corecharity.org.uk What are the symptoms? What are the causes? What are peptic ulcers? When should I consult a doctor? What will the doctor do? How should I treat peptic
More informationSurgery for oesophageal cancer
Surgery for oesophageal cancer This information is an extract from the booklet Understanding oesophageal cancer (cancer of the gullet). You may find the full booklet helpful. We can send you a free copy
More informationWhat can I eat? Peptic ulcers. What are peptic ulcers? What tests are needed? Will the ulcer come back? What causes a peptic ulcer?
In association with: INFORMATION ABOUT Peptic ulcers www.corecharity.org.uk What are peptic ulcers? What causes a peptic ulcer? How are NSAIDs and aspirin involved? How do I know if I ve got an ulcer?
More informationWhat will the doctor do?
Information about Pancreatic Cancer www.corecharity.org.uk What are the symptoms? What are the causes? Pancreatic Cancer explained When should I consult a doctor? What will the doctor do? How should I
More informationUse of stents in esophageal cancer" Hans Gerdes, M.D. Director, GI Endoscopy Unit Memorial Sloan-Kettering Cancer Center
Use of stents in esophageal cancer" Hans Gerdes, M.D. Director, GI Endoscopy Unit Memorial Sloan-Kettering Cancer Center Features of esophageal cancer Esophageal cancer is an abnormal growth that arises
More informationEsophageal Cancer. Understanding your diagnosis
Esophageal Cancer Understanding your diagnosis Esophageal Cancer Understanding your diagnosis When you first hear that you have cancer, you may feel alone and afraid. You may be overwhelmed by the large
More informationEsophagus Cancer Overview
Esophagus Cancer Overview This overview is based on the more detailed information in our document Esophagus Cancer: Detailed Guide. What is cancer of the esophagus? Cancer starts when cells in the body
More informationTypes of surgery for kidney cancer
Useful information for cancer patients Contents This information is about the different operations that you may have for kidney cancer. Surgery can be used to treat almost any stage of kidney cancer. There
More informationTreatments for Barrett s Oesophagus
Treatments for Barrett s Oesophagus Introduction This leaflet describes the various ways in which Barrett s Oesophagus is treated. It has been produced in association with Heartburn Cancer UK (HCUK), a
More informationHow common is bowel cancer?
information Primary Care Society for Gastroenterology Bowel Cancer (1 of 6) How common is bowel cancer? Each year 35,000 people in Britain are diagnosed with cancer of the bowel, that is to say cancer
More informationTreating Oesophageal Cancer A Quick Guide
Treating Oesophageal Cancer A Quick Guide Contents This is a brief summary of the information on Treating from our website. You will find more detailed information on the website. In this information there
More informationNational Digestive Diseases Information Clearinghouse
Barrett s Esophagus National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is Barrett s esophagus? Barrett s esophagus is
More informationUNDERGOING OESOPHAGEAL STENT INSERTION
UNDERGOING OESOPHAGEAL STENT INSERTION Information Leaflet Your Health. Our Priority. Page 2 of 5 Introduction This leaflet tells you about the procedure known as oesophageal stent insertion, explains
More informationCrohn s Disease. What is Crohn s Disease? ho gets Crohn s Disease? hat are the symptoms? What causes Crohn s Disease?
In association with: Primary Care Society for Gastroenterology INFORMATION ABOUT Crohn s Disease What is Crohn s Disease? ho gets Crohn s Disease? What causes Crohn s Disease? hat does it do to the intestine?
More informationDiet tips to avoid heartburn and indigestion
Diet tips to avoid heartburn and indigestion Quick Quiz Q1. Can drinking cabbage juice help indigestion? Yes No Q2. Does peppermint help? Yes No Q3. Is it true eating pastry products has no effect on heartburn
More informationOesophageal Stent. Patient Information
Oesophageal Stent Patient Information Introduction You have been advised to have a flexible metal tube inserted into your oesophagus (gullet). This is called an oesophageal stent. The stent will hopefully
More informationWhat is Barrett s esophagus? How does Barrett s esophagus develop?
Barrett s Esophagus What is Barrett s esophagus? Barrett s esophagus is a pre-cancerous condition affecting the lining of the esophagus, the swallowing tube that carries foods and liquids from the mouth
More informationTreating Mesothelioma - A Quick Guide
Treating Mesothelioma - A Quick Guide Contents This is a brief summary of the information on Treating mesothelioma from CancerHelp UK. You will find more detailed information on the website. In this information
More informationHow To Plan A Staging Investigation For Cancer Of The Oesophagus Or Stomach
Oxford University Hospitals NHS Trust Oxford Upper Gastrointestinal Centre Staging of cancers of the oesophagus and stomach Information for patients Introduction This leaflet gives you information about
More informationLaparoscopic Fundoplication for Reflux
Laparoscopic Fundoplication for Reflux Exceptional healthcare, personally delivered Understanding Reflux General Reflux happens when acid from the stomach washes up into the gullet (oesophagus) from the
More informationLaparoscopic Anti-Reflux (GERD) Surgery Patient Information from SAGES
Laparoscopic Anti-Reflux (GERD) Surgery Patient Information from SAGES Surgery for "Heartburn" If you suffer from moderate to severe "heartburn" your surgeon may have recommended Laparoscopic Antireflux
More informationWhat tests will I need? What should I eat? How do diverticula form? What is Diverticular Disease? What symptoms might I get? Can I prevent it?
Information about Diverticular Disease www.corecharity.org.uk How common is it? Can I prevent it? What is Diverticular Disease? What tests will I need? What symptoms might I get? What should I eat? How
More informationCoeliac disease. hat exactly is gluten? What is coeliac disease? hat foods contain gluten? ow is coeliac disease treated?
In association with: Primary Care Society for Gastroenterology INFORMATION ABOUT Coeliac disease What is coeliac disease? hy does coeliac disease happen? How many people are affected? ow is coeliac disease
More informationGeneral Information About Non-Small Cell Lung Cancer
General Information About Non-Small Cell Lung Cancer Non-small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing
More informationLIVER CANCER AND TUMOURS
LIVER CANCER AND TUMOURS LIVER CANCER AND TUMOURS Healthy Liver Cirrhotic Liver Tumour What causes liver cancer? Many factors may play a role in the development of cancer. Because the liver filters blood
More informationWhat is Irritable Bowel Syndrome?
Information about Irritable Bowel Syndrome What causes IBS? Why is it painful? What is Irritable Bowel Syndrome? Are there different sorts of IBS? How can I help myself? Is it common? Is IBS serious? Irritable
More informationYou have been advised by your GP or hospital doctor to have an investigation known as a Gastroscopy.
Gastroscopy (OGD) The Procedure Explained You have been advised by your GP or hospital doctor to have an investigation known as a Gastroscopy. This procedure requires your formal consent. If you are unable
More informationUniversity College Hospital. Laparoscopic Fundoplication. Gastrointestinal Services Division
University College Hospital Laparoscopic Fundoplication Gastrointestinal Services Division 2 3 If you need a large print, audio or translated copy of the document, please contact us on 020 3447 9202. We
More informationLaparoscopic Antireflux Surgery Information Sheet
Laparoscopic Antireflux Surgery Information Sheet What is Laparoscopic Antireflux Surgery? Antireflux surgery (also known as fundoplication) is the standard surgical method of treating gastro-oesophageal
More informationMesothelioma. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com ocft0101 Last reviewed: 03/21/2013 1
Mesothelioma Introduction Mesothelioma is a type of cancer. It starts in the tissue that lines your lungs, stomach, heart, and other organs. This tissue is called mesothelium. Most people who get this
More informationOGD (Gastroscopy) Information for patients. Liver, Renal & Surgery. Confirming your identity
Liver, Renal & Surgery OGD (Gastroscopy) Information for patients This leaflet answers some of the questions you may have about having an OGD. It explains the risks and the benefits of the test and what
More informationLearning about Mouth Cancer
Learning about Mouth Cancer Creation of this material was made possible in part by a pioneering grant from CBCC-USA. Distributed by India Cancer Initiative What is mouth cancer? Our bodies are made up
More informationCholangiocarcinoma (Bile Duct Cancer) Patient Information Booklet
Cholangiocarcinoma (Bile Duct Cancer) Patient Information Booklet Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationDisease/Illness GUIDE TO ASBESTOS LUNG CANCER. What Is Asbestos Lung Cancer? www.simpsonmillar.co.uk Telephone 0844 858 3200
GUIDE TO ASBESTOS LUNG CANCER What Is Asbestos Lung Cancer? Like tobacco smoking, exposure to asbestos can result in the development of lung cancer. Similarly, the risk of developing asbestos induced lung
More informationUniveristy College Hospital. Subtotal and Total Gastrectomy. Gastrointestinal Services Division
Univeristy College Hospital Subtotal and Total Gastrectomy Gastrointestinal Services Division Author: Khaled Dawas, Consultant Upper Gastrointestinal Surgeon and Senior Lecturer First published: March
More informationGASTROESOPHAGEAL REFLUX DISEASE (GERD)
GASTROESOPHAGEAL REFLUX DISEASE (GERD) Gastroesophageal reflux disease is a clinical scenario where the gastric or duodenal contents reflux back up into the esophagus. Reflux esophagitis, however, is a
More informationOesophageal stent insertion
Oesophageal stent insertion Exceptional healthcare, personally delivered Oesophageal Stent Insertion Introduction This leaflet tells you about the procedure known as oesophageal stent insertion, explains
More informationUnderstanding. Pancreatic Cancer
Understanding Pancreatic Cancer Understanding Pancreatic Cancer The Pancreas The pancreas is an organ that is about 6 inches long. It s located deep in your belly between your stomach and backbone. Your
More informationBiliary Stone Disease
Biliary Stone Disease Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm You have
More informationSecondary liver cancer Patient Information Booklet
Secondary liver cancer Patient Information Booklet Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationLung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available.
Lung Cancer Introduction Lung cancer is the number one cancer killer of men and women. Over 165,000 people die of lung cancer every year in the United States. Most cases of lung cancer are related to cigarette
More informationEsophageal Cancer Treatment
Scan for mobile link. Esophageal Cancer Treatment What is Esophageal Cancer? Esophageal cancer occurs when cancer cells develop in the esophagus, a long, tube-like structure that connects the throat and
More informationHow treatment is planned Giving your consent The benefits and disadvantages of treatment Second opinion
Treatment overview for lung cancer This information is an extract from the booklet Understanding lung cancer. You may find the full booklet helpful. We can send you a free copy see page 5. Contents How
More informationLiver Resection. Patient Information Booklet. Delivering the best in care. UHB is a no smoking Trust
Liver Resection Patient Information Booklet Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationRadiation Therapy for Prostate Cancer
Radiation Therapy for Prostate Cancer Introduction Cancer of the prostate is the most common form of cancer that affects men. About 240,000 American men are diagnosed with prostate cancer every year. Your
More informationColonic Stenting Your Procedure Explained
Colonic Stenting Your Procedure Explained Patient Information Introduction This leaflet tells you about the procedure known as colonic stenting. It explains what is involved and some of the common complications
More informationMesothelioma and Asbestos
CANCER INFORMATION FACTSHEET Mesothelioma and Asbestos The information in this factsheet will help you to understand more about mesothelioma. It is an agreed view on this cancer by medical experts. We
More informationOesophageal Stent Insertion
Oesophageal Stent Insertion Endoscopy Department Central Operations Group This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries
More informationRADIATION THERAPY FOR LYMPHOMA. Facts to Help Patients Make an Informed Decision TARGETING CANCER CARE AMERICAN SOCIETY FOR RADIATION ONCOLOGY
RADIATION THERAPY FOR Facts to Help Patients Make an Informed Decision TARGETING CANCER CARE AMERICAN SOCIETY FOR RADIATION ONCOLOGY FACTS ABOUT The lymphatic system is a network of tiny vessels extending
More informationSurgery and other procedures to control symptoms
Surgery and other procedures to control symptoms This fact sheet is for people diagnosed with inoperable pancreatic cancer who will be having surgery or another interventional procedure to relieve symptoms
More informationBreast Cancer. Sometimes cells keep dividing and growing without normal controls, causing an abnormal growth called a tumor.
Breast Cancer Introduction Cancer of the breast is the most common form of cancer that affects women but is no longer the leading cause of cancer deaths. About 1 out of 8 women are diagnosed with breast
More informationConstipation in Adults
Information about Constipation in Adults What are the commonest causes? What are the unusual causes? Constipation in Adults Will I need to have tests? What does constipation mean? What research is needed?
More informationENDOSCOPY UNIT. Duodenum Stomach. Having an oesophageal stent. Patient information leaflet
Trafford Hospitals ENDOSCOPY UNIT Gastroscope Oesophagus Lungs Duodenum Stomach Having an oesophageal stent Patient information leaflet If you are unable to keep your appointment, please telephone the
More informationUndergoing an Oesophageal Endoscopic Resection (ER)
Contact Information If you have an enquiry about your appointment time/date please contact the Booking Office on 0300 422 6350. For medication enquiries please call 0300 422 8232, this is an answer machine
More informationMesothelioma and Asbestos
Cancer information factsheet Mesothelioma and Asbestos The information in this factsheet will help you to understand more about mesothelioma. It is an agreed view on this cancer by medical experts. We
More informationPancreatic Cancer Understanding your diagnosis
Pancreatic Cancer Understanding your diagnosis Let s Make Cancer History 1 888 939-3333 cancer.ca Pancreatic Cancer Understanding your diagnosis When you first hear that you have cancer you may feel alone
More informationHaving a PEG tube inserted?
Having a PEG tube inserted? Information for Patients and Carers Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationInformation for Patients having a Colonic Stent Placement
Information for Patients having a Colonic Stent Placement Information for Patients having a Colonic Stent Placement The Digestive System To understand the procedure you are about to have, it helps to have
More informationGastroscopy the procedure explained
Gastroscopy the procedure explained Exceptional healthcare, personally delivered Introduction You have been advised by your GP or hospital doctor to have an investigation known as a gastroscopy (OGD).
More informationLung Cancer. Know how to stay strong
Lung Cancer Know how to stay strong What is cancer? 2 Cancer is a disease when some cells in the body grow out of control Normal cells Your body has many tiny cells and keeps making new cells to keep you
More informationLung cancer. Lung cancer: English
Lung cancer: English Lung cancer This fact sheet is about how lung cancer is diagnosed and treated. We also have fact sheets in your language about chemotherapy, radiotherapy, surgery, side effects of
More informationHaving a RIG tube inserted
Having a RIG tube inserted Information for patients and carers Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationWhat If I Have a Spot on My Lung? Do I Have Cancer? Patient Education Guide
What If I Have a Spot on My Lung? Do I Have Cancer? Patient Education Guide A M E R I C A N C O L L E G E O F C H E S T P H Y S I C I A N S Lung cancer is one of the most common cancers. About 170,000
More informationSmall cell lung cancer
Small cell lung cancer Small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing organs that are found within
More informationM6-1 NOTE. Each major learning point is clearly identified by boldface type throughout the guide and emphasized in the PowerPoint presentation.
Basics of Cancer Treatment Module 6 Basics of Cancer Treatment Target Audience: Community members Staff of Indian health programs, including Community Health Representatives Contents of Learning Module:
More informationSurgery. Wedge resection only part of the lung, not. not a lobe, is removed. Cancer Council NSW
The treatment you receive will depend on your lung cancer type, for example, whether you have a non-small cell lung cancer Adenocarcinoma or Squamous cell carcinoma, and if this is a sub-type with a mutation.
More informationThe causes of kidney cancer are unknown. However, there are several factors that may increase your risk including:
Kidney cancer Summary Kidney cancer is more common in people over the age of 55 years. Most kidney cancers are found when the doctor is checking for something else. A person is usually able to live quite
More informationUnderstanding Pleural Mesothelioma
Understanding Pleural Mesothelioma UHN Information for patients and families Read this booklet to learn about: What is pleural mesothelioma? What causes it? What are the symptoms? What tests are done to
More informationAsbestos and your lungs
This information describes what asbestos is and the lung conditions that are caused by exposure to it. It also includes information about what to do if you have been exposed to asbestos, and the benefits
More informationSmoking and misuse of certain pain medicines can affect the risk of developing renal cell cancer.
Renal cell cancer Renal cell cancer is a disease in which malignant (cancer) cells form in tubules of the kidney. Renal cell cancer (also called kidney cancer or renal adenocarcinoma) is a disease in which
More informationTransurethral Resection of Bladder Tumour (T.U.R.B.T)
Transurethral Resection of Bladder Tumour (T.U.R.B.T) Patient Information Introduction This booklet has been written to help you understand the surgery you are about to undergo. It will give you information
More informationMalignant Mesothelioma
Malignant Malignant mesothelioma is a tumour originating from mesothelial cells. 85 95% of mesotheliomas are caused by asbestos exposure. It occurs much more commonly in the chest (malignant pleural mesothelioma)
More informationMalignant Mesothelioma
Malignant mesothelioma is a tumour originating from mesothelial cells. 85 95% of mesotheliomas are caused by asbestos exposure. It occurs much more commonly in the chest (malignant pleural mesothelioma)
More informationThymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available.
Thymus Cancer Introduction Thymus cancer is a rare cancer. It starts in the small organ that lies in the upper chest under the breastbone. The thymus makes white blood cells that protect the body against
More informationSilent Reflux. Adult Speech & Language Therapy 01625 661067. Macclesfield District General Hospital. www.eastcheshire.nhs.uk
Silent Reflux Adult Speech & Language Therapy 01625 661067 Macclesfield District General Hospital www.eastcheshire.nhs.uk Leaflet Ref: 11067 Review: 11/2017 Page 1 Introduction Reflux is when acid stomach
More informationHow To Treat Lung Cancer At Cleveland Clinic
Treatment Guide Lung Cancer Management The Chest Cancer Center at Cleveland Clinic, which includes specialists from the Respiratory Institute, Taussig Cancer Institute and Miller Family Heart & Vascular
More informationPOEM Procedure for. Esophageal Achalasia
POEM Procedure for Esophageal Achalasia POEM (Per-Oral endoscopic myotomy) is an incisionless procedure to treat esophageal achalasia, totally performed by endoscopy, without cutting the surface of the
More informationAn Introduction to PROSTATE CANCER
An Introduction to PROSTATE CANCER Being diagnosed with prostate cancer can be a life-altering experience. It requires making some very difficult decisions about treatments that can affect not only the
More informationUnderstanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE
Understanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE Introduction This guide is designed to help you clarify and understand the decisions that need to be made about your care for the
More informationTreating Melanoma S kin Cancer A Quick Guide
Treating Melanoma Skin Cancer A Quick Guide Contents This is a brief summary of the information on Treating melanoma skin cancer from our website. You will find more detailed information on the website.
More informationMesothelioma: Questions and Answers
CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Mesothelioma: Questions
More informationSurgery for breast cancer in men
Surgery for breast cancer in men This information is an extract from the booklet Understanding breast cancer in men. You may find the full booklet helpful. We can send you a free copy see page 9. Contents
More informationG E R D. (Gastroesophageal Reflux Disease)
G E R D (Gastroesophageal Reflux Disease) What is GERD? Gastroesophageal reflux disease (GERD) is a disorder caused by gastric acid flowing from the stomach into the esophagus. What are the symptoms of
More informationLaparoscopic Gallbladder Removal (Cholecystectomy) Patient Information from SAGES
Laparoscopic Gallbladder Removal (Cholecystectomy) Patient Information from SAGES Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed
More informationThis factsheet aims to outline the characteristics of some rare lung cancers, and highlight where each type of lung cancer may be different.
There are several different kinds of lung cancer, often referred to as lung cancer subtypes. Some of these occur more often than others. In this factsheet we will specifically look at the subtypes of cancers
More informationPRIMARY LUNG CANCER TREATMENT
PRIMARY LUNG CANCER TREATMENT Cancer Care Pathways Directorate Tailored Information in Cancer Care (TICC) Sir Anthony Mamo Oncology Centre December 2014 Contents About this booklet 1 Types of Lung Cancer
More informationOesophageal Balloon Dilatation
Oesophageal Balloon Dilatation Patient Information Author ID: N Prasad Leaflet Number: End 008 Name of Leaflet: Oesophageal Balloon Dilation Date Produced: March 2014 Review Date: March 2016 Oesophageal
More informationTreatment for pleural mesothelioma
Treatment for pleural mesothelioma This information is an extract from the booklet Understanding mesothelioma. You may find the full booklet helpful. We can send you a free copy see page 9. Contents Treatment
More informationHEALTH EFFECTS. Inhalation
Health Effects HEALTH EFFECTS Asbestos can kill you. You must take extra precautions when you work with asbestos. Just because you do not notice any problems while you are working with asbestos, it still
More informationAre you worried about prostate cancer? 1
Are you worried about prostate cancer? 1 Are you worried about prostate cancer? This information is from the leaflet Are you worried about prostate cancer? You may find the full leaflet helpful. We can
More informationBreast cancer affects one in eight Australian women. It is the most common cancer for Victorian women, with almost 3,700 diagnoses in 2012.
Breast cancer Summary Breast cancer affects one in nine Australian women. It is important for all women to get to know the normal look and feel of their breasts. Although most breast changes aren t caused
More informationYour Upper GI cancer Multi-Disciplinary Team. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Your Upper GI cancer Multi-Disciplinary Team An information guide Your Upper GI cancer Multi-Disciplinary Team Upper Gastrointestinal (GI)
More informationContents. Overview. Removing the womb (hysterectomy) Overview
This information is an extract from the booklet Understanding womb (endometrial) cancer. You may find the full booklet helpful. We can send you a free copy see page 9. Overview Contents Overview Removing
More informationOriginal Article: http://www.mayoclinic.com/health/esophageal-spasms/ds00763
MayoClinic.com reprints This single copy is for your personal, noncommercial use only. For permission to reprint multiple copies or to order presentation-ready copies for distribution, use the reprints
More informationKidney Cancer OVERVIEW
Kidney Cancer OVERVIEW Kidney cancer is the third most common genitourinary cancer in adults. There are approximately 54,000 new cancer cases each year in the United States, and the incidence of kidney
More informationHaving a Gastric Band
Having a Gastric Band Hope Building Upper G.I. / Bariatrics 0161 206 5062 All Rights Reserved 2014. Document for issue as handout. This booklet aims to describe: l What is a gastric band page 2 l How is
More informationLung cancer (non-small-cell)
Patient information from the BMJ Group Lung cancer (non-small-cell) It can be devastating to find out that you or someone close to you has lung cancer. You will have to make some important decisions about
More informationCancer of the Cervix
Cancer of the Cervix WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 A woman's cervix (the opening of the uterus) is lined with cells. Cancer of the cervix occurs when those cells change,
More informationSymptoms of Hodgkin lymphoma
Produced 28.02.2011 Revision due 28.02.2013 Symptoms of Hodgkin lymphoma Lymphoma is a cancer of cells called lymphocytes. These cells are part of our immune system, which helps us to fight off infections.
More information