Author(s): Balachandra Parashuram Sanganal1, Shivanagouda Yallappagouda Mulkipatil2
Carcinoma oesophagus is aggressive tumour with poor prognosis occurring in mid to late adulthood with most cases presenting in the late stages. Surgical therapy remains the main stay therapy. Survival rate varies from 10 to 45% depending upon the stage. Primary goal of palliation is restoration of swallowing, relief of pain and local control of disease. The aim of the study is to study the1. Various clinical modes of presentation of oesophageal cancer and their correlates. 2. Outcome of the transhiatal oesophagectomy surgery. 3. Histopathological profile of the tumour.
MATERIALS AND METHODS
30 patients with oesophageal carcinoma (of lower one third) admitted at KIMS, Hubli, were enrolled. Data was collected using a pretested proforma. The cases were subjected to surgery (transhiatal oesophagectomy) after relevant investigations and confirmation of diagnosis by endoscopic biopsy.
Males are more commonly affected. Maximum incidence of disease was noted in 5th and 6th decades of life. 33.3% cases were tobacco chewers and 20% consumed alcohol. Dysphagia was the commonest presenting feature seen in all the 30 patients. Weight loss was present in 24 patients. Morphologically, 53.3% had ulcerative growth and 46.6% had ulceroproliferative growth of lesion. Most common postoperative complications was pneumonia and anastomotic leak. Postoperative mortality rate was 20%. Most common histological variety of carcinoma oesophagus was squamous cell carcinoma.
Smoking, tobacco chewing and alcohol consumption are important risk factors in development of carcinoma oesophagus. Larger study and regular follow up are required for long-term survival rate estimation.