Editing Oesophageal cancer (section)

== '''Staging:''' depth of invasion, lymph node involvement, distant disease, histologic characteristics ==

* Separate staging for SCC and     adenocarcinoma
* Stage GOJ adenocarcinomas as     oesophageal cancer, except for Siewert III tumours (those 2-5cm below GOJ)     which are classified as gastric cancers
* Oesophageal adenocarcinoma -     nodal disease from coeliac axis up to paratracheal region is considered     regional disease, while nodal disease outside of those boundaries is     considered distant disease
* Oesophageal SCC -     peri-oesophageal cervical lymphadenopathy is still considered regional     disease

* Siewert I: tends to move to     mediastinal lymph nodes - trans-thoracic en-bloc oesophagectomy with     two-field lymphadenectomy
* Siewert II: tends to move to     coeliac nodes - Ivor Lewis
* Siewert III: tends to move to     coeliac ndoes - total gastrectomy with trans-hiatal resection of distal     oesophagus and extended upper abdominal lymphadenectomy