ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA UNG THƯ BIỂU MÔ THỰC QUẢN GIAI ĐOẠN IV - TÁI PHÁT VÀ/HOẶC DI CĂN

Abstract

Esophageal cancer is a malignant disease with a poor prognosis. Common clinical manifestations are choking, chest pain, and weight loss. When these signs appear, the disease is often in the late stages. Objective: Describe some clinical and paraclinical characteristics of patients with stage IV esophageal cancer (recurrence and/or metastasis) at K hospital. Subjects and research methods: 48 cancer patients Esophageal cancer included 33 patients newly diagnosed with stage IV and 15 patients treated with previous surgery or chemotherapy and radiotherapy regimens who were admitted to the hospital when the disease had progressed, their clinical and paraclinical characteristics was recorded. Results: Clinical symptoms of tumor invasion such as persistent cough were 25.0%; hoarseness 6.2%. Clinical lymph node metastasis is in 41.7% of supraclavicular lymph nodes and 12.5% of submandibular lymph nodes. Characteristics on CT: regarding the level of invasion: the rate of tumor breaking the capsule is 64.6%; 70.8% invaded periesophageal fat, lymph node metastasis occurred at a high rate of 81.3%. Conclusion: Almost patients with advanced-stage esophageal cancer have symptoms of choking and signs of invasive cancer such as hoarseness or persistent cough.