Презентация на тему Esophageal cancer, stomach cancer

most common cancer worldwide, responsible for 462,000 new cases

in 2002 (4,2 % of the total), and six most common cause of death from cancer with 386,000 deaths (5,7 % of the total).
Esophageal cancer occurs in several parts of the world. There is a high incidence in parts of China, the Central and Eastern European countries, Iran and Japan, as well as in Africa and areas of Western Europe such as French Bretagne, Finland, Scotland and Sweden.
Esophageal cancer is mainly seen in patients over the age of 40; the incidence increases with age.
Cancer of the esophagus has a very poor survival:16% of the cases in the USA and 10% in Europe survive at least 5 years.

changes are seen in the part of the oesophagus

in 5-10% of the patients (BE). These changes are premalignant, and consequently there is a higher risk for the development of a cancer.

cardiac area of the stomach after Garlok’s operation because

of Barrett’s esophageus.

BARRETT’S OESOPHAGUS

upper third : ±10%
- middle third :

± 40%
- lower third : ± 50%

frequently grows as an exophytic mass into the esophageal

lumen leading to obstruction, but it frequently also infiltrates the submucsa over a distance of 5 to 10 cm.

Pathomorphologyc classification

Endophytic
30-35%

Exophytic
60-65%

Mixed
5-10%

dysphagia
Anorexia
Weight loss
Weakness
Anemia
Inanition
Pain on swallowing
Regurgitation
Aspiration
Hoarseness
Cushing's syndrome

esophagus middle third. Constriction of esophagus lumen with suprastenotic

dilatation, thickening of esophageal wall at the place where tumor’s localized (symptom of sand-glass).

become obvious that there has been a gradual decline

in the incidence of gastric cancer in the Western industrialized countries. The reason is not clear, but there may be a relation to the introduction of canned food, refrigerators and deep-freezers and the consequent discontinuation of older preservation methods such as salting. However, Japan is a specially known for a high incidence of gastric cancer. Japanese, who emigrated to the USA and who adapted American dietary habits, show a distinct decline in the incidence of gastric cancer (already in the first generation); Whereas American Japanese, keeping to their original dietary habits, demonstrate an incidence as high as in Japan.

Vomitting
Early satiety
Weight loss

Dysphagia
Weakness
Epigastric Pain
Anemia
Occult blood in stools
Epigastric mass

Rare findings:

Left supraclavicular node (Virchow's node)
Acanthosis Nigricans
Mass in the perirectal pouch (Blumer's shelf)
Thrombophlebitis (Trousseau's syndrome)
Dermatomyositis
Enlarged ovaries (Krukenberg tumor)

shaped malignant ulcer at the greater curvature. The tumor

is penetrating all mucosal layers.