Concluded Case

Metastatic Esophageal Cancer

A 56 years old male with esophageal SCC of upper esophagus, diagnosed in March 2019, S/P Chemotherapy + Radiotherapy. In March 2020 developed left supraclavicular lymphadenopathy which was biopsies and came out to be metastatic. Symptomatic in March 2020 with dysphagia for which he underwent CT showing growth involving b/l pyriform fossa, aryepiglottic fold and upper esophagus and underwent EGD with dilatation. Presently patient presented with grade 4 dysphagia since 10 days with BMI of 16 and ECOG of 2. Unable to pass EGD or wire across the growth. What should be the further management of this patient?

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Concluded answer

The patient underwent feeding jejunostomy. I/v/o poor performance score patient was planned for best supportive care

All Answers

The patient underwent feeding jejunostomy. I/v/o poor performance score patient was planned for best supportive care

Feeding jejunostomy Once stable second line chemo Reassess later