Concluded Case

50 years old Male with history of dysphagia. Barium swallow reveals a stricture in cervical part of oesophagus. Further management

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Concluded answer

PT immediately requires Upper GI endoscopy plus biopsy. In all probabilities it looks like malignancy. Further imaging studies for metastases needs to be done. If malignancy, PT has to go for concurrent chemo Radiation.

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Sir,Most probably it's a malignant stricture then also a biopsy should be done to know whether it's benign or malignant. I think we can go for Sequential dilatation or SEMS(SELF EXPANDING METAL STENTS) though it is associated with more complications as compared to mid and lower oesophageal stricture as palliative measure. Surgery can't be an option if there is loco regional spread.

Progressive/non progressive dysphagia??? Painful / pain free??? Oder significant history like weight loss, anorexia, change if voice ... do ugi endoscopy and biopsy ... cect chest with neck PER ct preferred.. stage disease .. food channel stenting/rt/ fj in same order .. definative or palliative rt ... no place of surgery in cervical esophagus

Valuable opinion
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PT immediately requires Upper GI endoscopy plus biopsy. In all probabilities it looks like malignancy. Further imaging studies for metastases needs to be done. If malignancy, PT has to go for concurrent chemo Radiation.

Valuable opinion
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Upper gi endoscopy f/b biopsy, with cect neck with chest with abdomen after biopsy report s/o malignancy follow by staging of oesophageal carcinoma and management different depend on type of malignancy.

Thanks, sir
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Esophagus stricture Adv Upper GI scopy with biopsy MRI thorax p/c with biopsy Biopsy tissue send for HPE PET CT scan

Thanks, sir
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This is a ca oesophagus Rx gasteroesophageal loop bypass surgery with chemo and panetrating radiotherapy

Thanx dr Shital Jadhav
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Needs further evaluation Ad- UGI endoscopy MRI nech with upper thorax.

this is ca oesophagus biopsy to be done.surgery and chemo& radiotherapy

Thanks, sir
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Kindly proceed with upper GI endoscopy with biopsy

Endoscopy and biopsy first

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