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 best book for step 3  

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• 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

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