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 best book for step 3  




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ESOPHAGEAL CANCERS

• Patients present with progressive dysphagia first to solids then liquids

• Squamous cell carcinoma - affects the upper esophagus Risk factors: smoking, ethanol, Plummer Vinson syndrome
• Adenocarcinoma - affects the lower esophagus Risk factor: Chronic GERD (Barrett esophagus)

Frequently tested

• Diagnosis:
➢ Initial test is barium swallow
➢ Best initial diagnostic test: endoscope

• X-ray /CT of chest to check for metastases

• Management:

➢ If no metastases, localized tumor - Tx. Surgery + chemotherapy with 5 -fluorouracil

➢ If metastasis is present - Tx. (Please see book for further details)

Below is the link to this book, click to the reviews and look inside

www.amazon.com/Next-Step-Ma...15/ref=sr_1_...SMLE+step+3

To get copy and check the reviews of the book please go to
Amazon and search "Next step in management USMLE STEP 3"
or
Google search " Next step in management USMLE Step 3


Copyright material : No part may be reproduced, reused, published, photocopying, recording, or transmitted in any form, or stored in a database or retrieval system, without written permission








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