Esophageal Cancer
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ESOPHAGUS (FESUPAGUS) CANCER
Esophageal Cancer
The silent progression that begins with difficulty swallowing can be stopped with early diagnosis and correct treatment.
Esophageal cancer is a serious but treatable digestive system cancer that originates from the cells lining the esophagus, which runs from the mouth to the stomach. It is more common in men over the age of 50. Since it does not show symptoms in the early stages, it is often diagnosed at an advanced stage. However, today, combined approaches such as surgery, chemotherapy and radiotherapy can significantly increase the length and quality of life.
Risk Factors
Squamous Cell Carcinoma
• It is seen in the upper and middle parts of the esophagus.
• Associated with tobacco and alcohol use
Adenocarcinoma
• It develops in the lower esophagus, usually on the basis of Barrett's esophagus.
• Obesity and reflux disease (GERD) are risk factors
Symptoms
Difficulty swallowing (dysphagia): Starts with solid foods and spreads to liquids over time
Weight loss: Usually rapid and involuntary
Burning, pressure or pain in the chest
Bad breath or hoarseness
Constant heartburn/reflux
Bloody vomit or black stools (occult bleeding)
Risk Factors
• Smoking and alcohol use
• Chronic reflux disease (GERD)
• Barrett's esophagus (mucosal change)
• Obesity
• Consuming very hot drinks
• Family history and genetic predisposition
• Diet with little nutritional diversity and poor fiber
Diagnosis Process
• Endoscopy (gastroscopy): The inside of the esophagus is viewed, a biopsy is taken.
• Pathological examination: The type, degree and spread of the tumor are evaluated.
• Endosonography (EUS): Depth of the tumor and lymph node spread
• CT, MR, PET-CT: To determine the presence of regional and distant metastasis.
• Tumor markers: Used as a support in some cases
Treatment Methods
Treatment is individualized according to the stage of the disease, the patient's general condition, and the location of the tumor.
Surgery (Esophageectomy)
• The tumorous part of the esophagus is removed
• A new passageway is created through the stomach or small intestine
• It can be done with open or minimally invasive (laparoscopic/robotic) methods.
Neoadjuvant Therapy
• The tumor is reduced with chemotherapy and/or radiotherapy before surgery.
• The success of surgery is increased
Chemoradiotherapy
• Can be used as primary treatment in patients who are not suitable for surgery
Endoscopic Treatments (for early stages)
• Methods such as mucosal resection and radiofrequency ablation
Process Management Suitable for Health Tourism Process Management Suitable for Health Tourism
- • Preliminary evaluation of endoscopy and imaging reports sent from abroad
- • Personalized surgical and oncological planning with a multidisciplinary team
- • Reconstruction of the esophagus with modern surgical techniques
- • Necessary nutritional support, psychological and palliative care planning
- • Accommodation, transfer, companion services and remote monitoring system
Esophageal cancer can progress silently; however, it can be brought under control with the right steps at the right time.
You can contact us for the diagnosis process, second opinion or treatment planning.