micro invasive squamous cell carcinoma of oesophagus - #13909

Hello sir See as per biopsy report it seems squamous cell carcinoma. But please donot worry . Usually first two stages have good prognosis I suggest you to please undergo following tests Tnc staging Pet scan Rft for chemotherapy Bronchoscopy Please share the result immediately with oncologist for better clarity Regards

Hi Dear Irfan , The Above Histopathology report is noted It shows SCC of oesophagus It would be appreciated if there is any UGI scopy picture /CECT NECK+ THORAX + ABDOMEN to comment about the disease Needs evaluation If swallowing is a difficulty then plan Ryles tube insertion Needs Imaging PET CT scan Further managment based on staging of the disease and the location of the disease Kindly visit a surgical oncologist Take care

Hello Irfan By going through your history and evaluation of your health these findings indicate that the lesion has progressed beyond carcinoma in situ and has begun to invade the underlying lamina propria but the invasion is very superficial and limited in extent .
But before going through a treatment process I recommend you to go through some more test for better evaluation and treatment. Investigations - Tnc staging Pet scan Bronchoscopy

Thank you

These biopsy findings indicate micro-invasive squamous cell carcinoma of the esophagus, which means there’s an early invasion from the superficial layers of the esophagus into the deeper tissues. It’s crucial to address this promptly to prevent more extensive cancer progression. Management usually involves further imaging to assess the extent of the invasion and potential spread, often through a CT or PET scan. Endoscopic ultrasonography (EUS) is another valuable tool to define the depth of this invasion and involvement of lymph nodes, something crucial for staging and treatment planning.

If confirmed to be localized micro-invasive cancer without significant spread, treatment options vary. Endoscopic resection methods, like endoscopic mucosal resection (EMR) or submucosal dissection (ESD), can be used to remove the carcinoma for early-stage cancer. However, if invasion is more extensive or if other high-risk features are present, surgical esophagectomy might become a consideration. Radiation and chemotherapy are additional options, especially for those non-operable candidates or those with more advanced disease spread.

Follow up with an oncologist is essential for discussing personal health context, risks, and preferences, and determining the best individualized course of action. Lifestyle modifications including smoking cessation and dietary adjustments might help reduce risks for future esophageal pathology. Regular screenings and surveillance post-treatment to catch any recurrence early are also critical steps in management. Immediate follow-ups with specialists, particularly after biopsy results, are fundamental in management of esophageal lesions like this.

The biopsy indicates microinvasive squamous cell carcinoma of the oesophagus, meaning early-stage cancer that has just started to invade beyond the surface layer. This stage is often potentially curable if detected early, usually managed through endoscopic removal or limited surgery, sometimes followed by radiation or chemotherapy depending on spread. It’s important to consult a gastrointestinal oncologist or oncologic surgeon promptly for staging scans and a tailored treatment plan to ensure complete removal and prevent progression.