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radiation for esophagus cancer

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  1. 1. Esophagus Cancer <ul><li>Understanding the disease </li></ul><ul><li>Treatment options </li></ul><ul><li>Side effects of treatment </li></ul>
  2. 2. Cancer usually causes narrowing of the esophagus causing obstruction and trouble swallowing
  3. 3. The location of the tumor is measured as the distance from the teeth
  4. 7. Lymph nodes from the esophagus
  5. 9. Lymph Nodes at Risk for GE junction
  6. 10. CT Location of the Lymph Nodes
  7. 11. Reading a CT Scan
  8. 12. Cross Section Anatomy of the Chest
  9. 14. Cross Section Anatomy of the Chest
  10. 15. Normal CT Scan through the esophagus, normally the esophagus has a thin wall
  11. 16. Cancer on CT Scan – the esophagus looks thickened (like a donut)
  12. 17. PET Scan through Middle Esophagus
  13. 18. PET Scan through Lower Esophagus
  14. 20. PET Scan = Cancer in Lower Esophagus
  15. 21. Types of Esophagus Cancer <ul><li>Squamous cell carcinoma (upper or middle, related to smoking_ </li></ul><ul><li>Adenocarcinoma (lower or where the esophagus joins the stomach (GE junction) related to reflux or GERD (Barrett’s esophagus) </li></ul>
  16. 22. Stages of Esophagus Cancer
  17. 31. Side Effects of Esophagus Radiation <ul><li>Esophagus – sore throat or trouble swallowing </li></ul><ul><li>Trachea or lungs – cough or shortness of breath </li></ul><ul><li>Chest wall – tenderness </li></ul><ul><li>Skin – sunburn </li></ul><ul><li>Fatigue </li></ul>