Esophageal Cancer
This an endoscopy showing late stage of Esophageal cancer of squamous cell carcinoma. There are two main types of esophageal cancer, including squamous cell carcinoma most commonly seen in the upper 2/3 of the esophagus, risk factors for this are smoking, achalasia, and Plummer-Vinson. The other type is Adenocarcinoma located at the lower 1/3 of the esophagus (GE junction) most commonly a sequelae of Barrett's esophagus. Symptoms are dysphagia, weight loss, back pain, chest pain, hoarseness of voice due to involvement of recurrent laryngeal nerve, Physical examination shows painless enlargement of supraclavicular nodes (Virchow's nodes). Treatment is Total thoracic esophagectomy with gastric pull-up or colon interposition (+/- chemotherapy)