Internal Medicine

P1: OXT/OZN/JDO P2: PSB

0521779407-E-01 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:10

550 Erythema Nodosum Esophageal Cancer

■Predinsone for severe cases

■Immunosuppressives may be used for recurrent or chronic, severe

disease.

follow-up

n/a

complications and prognosis

■Good – Spontaneous resolution often occurs

■Usually runs course in 3 to 6 weeks

■Resolves without atrophy or scarring

■Chronic lesions should suggest alternative diagnosis.

■When using KI, must monitor for induction of hypothyroidism

Esophageal Cancer...................................

ROY SOETIKNO, MD, MS and MONA LIN, MD

history & physical

History

■increasing incidence in recent years

■adenocarcinoma and squamous carcinoma comprised more than

90% of cases (adenocarcinoma is more common than squamous)

■benign tumors rare

➣common types: fibrovascular polyp, lipoma, granular cell tumor,

leiomyoma

Signs & Symptoms

■asymptomatic until advanced

■dysphagia typically progress from solids to solids and liquids

■anemia

■cough from tracheobronchial fistulas

■weight loss

tests

■barium esophagogram

➣confirm presence and extent of tumor

■endoscopy

➣localize and biopsy for pathology

■endoscopic ultrasonography and CT scan

➣determine local and distant staging, respectively