The oesophagus, also
known as the gullet, is the long tube that
carries food from the throat to the stomach.
When a person has
cancer of the oesophagus, a growth can be
located anywhere along the tube and is usually
diagnosed as being upper (behind the windpipe),
middle (near the chest) or lower (near the
stomach). Cancer in the upper part
of the oesophagus is called squamous carcinoma,
whereas a tumour lower down is usually referred
to as an adenocarcinoma.
Cancer of the oesophagus
is a rare disease, particularly in the UK,
and accounts for only 1 in 50 of new cancer
cases. Possible causes include drinking
too much alcohol and poor diet, although
smoking is thought to be a main cause.
Iron deficiency used
to be a common cause of cancer of the oesophagus,
but changes in diet and advances in healthcare
mean that this is now very rare.
Radiotherapy and chemotherapy
can be used to destroy the growth. However
in most cases the best option for complete
recovery to remove the growth by surgery.
Cancer of the oesophagus
is often quite advanced by the time it is
diagnosed. This makes treatment more
difficult.
When the oesophagus
has become narrowed by a growth, it may
be possible to have surgery to make swallowing
easier. A plastic tube called a stent
may be put into the oesophagus which will
make it easier to breathe and swallow. This
is usually done under a general anaesthetic.
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