Intelligence Test.ca - Find articles on intelligence test theory Visit Intelligence Test.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

A Healthy Colon

From my point of view the most amazing part of this whole exp...

Functional Hiatal Stenosis Hiatal Esophagismus Phrenospasm Diaphragmatic Pinchcock Stenosis

There is no sphincteric muscular arrangement at the cardiac o...

Heartburn

This peculiar burning and distressed feeling at the stomach d...

Snake Bite

Suck the wound, and apply a drop or two of strong ammonia to t...

Varieties Of Forms Of Scarlatina

The above is the description of scarlet-fever, as it most fre...

On Ulcers

From the preceding observations it would naturally be conclud...

The Form Of The Thoracic Cavity And The Position Of The Lungs Heart And Larger Bloodvessels

In the human body there does not exist any such space as cavi...

Eyes Inflamed

For all kinds of burning inflammatory pain in the eyes, the fo...

Rebellion!

_This is preaching rebellion!_ I know it is, and it is wit...

Bone Soft

Often, in the young, the bones are so soft that they bend more...

The Roentgenographic Signs Of Expiratory-valve-like Bronchial Obstruction

The roentgenray signs in expiratory valve-like obstruction of...

The Period Of Convalescence

under the usual drug-treatment, is, however, usually protract...

The Electric Circuit

The Electric Circuit is made up of any thing and every thing ...

Weakness

Often there follows, after the cure of an inflammatory disease...

Mineral Acids Muriatic Acid Prescriptions

have also been used with good effect in some epidemics. _Muri...

Strabismus Discordance Of The Eyes

If neither of the rectus muscles have been cut and cicatrized...

Decannulation

When the tracheal incision is placed below the first ring, n...

Lilly

WILLIAM LILLY, a famous English astrologer of yeoman ancestry...

Laxatives

If the bowels are known to be in excellent condition and not ...

Haemorrhoids Piles

If the case be recent, take the B D current; if old, take A D...



Diagnosis





Category: MALIGNANT DISEASE OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

It has been estimated that 70 per cent of stenoses of
the esophagus in adults are malignant in nature. This should stimulate
the early and careful investigation of every case of dysphagia. When
all cases of persistent dysphagia, however slight, are endoscopically
studied, precancerous lesions may be discovered and treated, and the
limited malignancy of the early stages may be afforded surgical
treatment while yet there is hope of complete removal. Luetic and
tuberculous ulceration of the esophagus are to be eliminated by
suitable tests, supplemented in rare instances by biopsy. Aneurysm of
the aorta must in all cases of dysphagia be excluded, for the dilated
aorta may be the sole cause of the condition, and its presence
contraindicates esophagoscopy because of the liability of rupture.
Foreign body is to be excluded by history and roentgenographic study.
Spasmodic stenosis of the esophagus may or may not have a malignant
origin. Esophagoscopy and removal of a specimen for biopsy renders the
diagnosis certain. It is to be especially remembered, however, that it
is very unwise to bite through normal mucosa for the purpose of taking
a specimen from a periesophageal growth. Fungations and polypoid
protuberances afford safe opportunities for the removal of specimens
of tissue.

The esophagoscopic appearances of malignant disease, varying with
the stage and site of origin of the growth, may present as follows:--
1. Submucosal infiltration covered by perfectly normal membrane,
usually associated with more or less bulging of the esophageal wall,
and very often with hardness and infiltration.
2. Leucoplakia.
3. Ulceration projecting but little above the surface at the edges.
4. Rounded nodular masses grouped in mulberry-like form, either dark
or light red in color.
5. Polypoid masses.
6. Cauliflower fungations.

In considering the esophagoscopic appearances of cancer, it is
necessary to remember that after ulceration has set in, the cancerous
process may have engrafted upon it, and upon its neighborhood, the
results of inflammation due to the mixed infections. Cancer invading
the wall from without may for a long time be covered with perfectly
normal mucous membrane. The significant signs at this early stage are:
1. Absence of one or more of the normal radial creases between the
folds.
2. Asymmetry of the inspiratory enlargement of lumen.
3. Sensation of hardness of the wall on palpation with the tube.
4. The involved wall will not readily be made to wrinkle when pushed
upon with the tube mouth.

In all the later forms of lesions the two characteristics are (a) the
readiness with which oozing of blood occurs; and (b) the sense of
rigidity, or fixation, of the involved area as palpated with the
esophagoscope, in contrast to the normally supple esophageal wall.
Esophageal dilatation above a malignant lesion is rarely great,
because the stenosis is seldom severely obstructive until late in the
course of the disease.





Next: Treatment

Previous: Symptoms



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 973