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treatment completed - revisit for check up
- either for signs of cancer still there
- treatment side effects
- any questions or problems
- doctor visit every 3-6 months for first 2 years, changes to 6-12 months every 3 years and then once a year after that.

- side effects may last a few days/ weeks or longer
- may not show up until years later

- trouble swallowing
- leads to weight loss or weakness due to lack of nutrition
- certain surgeries can affect eating habits
- may have problems with esophageal stricture (narrowing of esophagus); possibly placing stent
-feeling like you don't want to eat anything/ don't feel like eating
- dumping syndrome - stomach passes food too quickly; causes diarrhea, sweating and flushing after eating.
- chest pain

lowering risk
- staying active
- eating a certain type of diet
- taking nutritional supplement
- decrease smoking and drinking alcohol; helpful to stop to increase appetite and with tolerating chemo therapy and radiation.

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Walk the patient through their course of treatment

What to expect

Number of fractions

Doses

Set up for treatment

Include field borders

Explain side effects to be expected with each dose

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Describe treatment options and include pros/cons for each option

Review staging of the disease and describe how it impacts treatment decision

Include which stage the patient has

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An endoscopic biopsy confirmed the diagnosis of invasive adenocarcinoma of the esophagus. This type of cancer originates in the glandular cells of the lower esophagus and most commonly metastases to the lymph nodes, lung, liver, bones, adrenal glands, and brain.

Report sent to back to the physician indicates:

Invasive cancer cells have grown beyond the mucosa (the inner lining of the esophagus). This means that it is a true cancer and not a pre-cancer.

Indicates poorly differentiated cells which means that the cancer is high-grade and can grow and spread quickly.

Negative for HER2 which means that target HER2 drugs are not relevant treatment options, this leaves chemotherapy as the only recourse.

Barrett's syndrome not indicated on this report, but is a risk factor for this type of cancer as Barrett's cell dysplasia is considered pre-cancerous.

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Patient presents with dysphagia, reflux, and cough...

Physician orders MBS..

Modified Barium Swallow is conducted to observe function of the esophagus and at what location reflux occurs.

Results of MBS inconclusive, mild reflux observed. Results sent to physician. (patient prescribed medication to treat acid reflux.)

Patient returns several weeks later with increasing severity of original symptoms with the addition of regurgitation of food and liquids.

Physician orders Endoscopy...

EGB(Esophagogastroduodenoscopy) is performed.

EGD results with discovery of large mass

Biopsy collected and sent to lab for testing

Pathologist discover malignant cancerous cells, physician orders CT...

CT scan conducted

CT reveals the mass has spread to patient's lymph nodes and liver

Project Guidelines:

Describe exams used and the radiographic appearance of pathology:

MBS

Endoscopic Biopsy

CT

Present at least one image from two different modalities along with background info regarding anatomy and the exam

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My name is Charles and I'm 62 years old

Pain swallowing, Heart burn, and cough

I'm going to see my doctor soon.