A Retrospective Study of Carcinoma Esophagus in Western Rajasthan

Background: Esophageal cancer is a deadly malignancy with a very low survival. Esophageal cancer is the 6th most common cancer and cause of cancer-related deaths in India. Objectives: To evaluate the incidence, clinical profile and varies treatment modality in esophageal cancer in the western Rajasthan population. Materials and Methods: This retrospective analytic study was conducted in Department of General Surgery at M. G. Hospital attached to Dr S. N. Medical College, Jodhpur.  A total of 32 patients with Esophageal Cancer were registered in the 8 year duration. The socio-demographic parameters including age, gender, locality, socioeconomic status, religion, education, occupation, and the addiction patterns of the patients were studied. All the patients were treated with the standard protocol. Results: Out of 35 patients, 43.75 % were males and 56.25 % female. Male: female ratio in study was (0.77:1). The age were range from 21-73 years, the incidence was highest in 5th decade followed by 6th and 7th decade in the study patients. The most common symptom was dysphagia. In management Surgical resection (35.48%), Surgical resection + chemo / RT or both (16.12%), palliative resection and chemoradiotherapy (3.22%) , Feeding jejunostomy ± chemo / RT or both (25.90%) was done. longest survival period was 18 month as reported in our study. Conclusion: Esophageal carcinoma is important cancers prevalent in western Rajasthan, with peak incidence was in 5th decade of life. Multimodality treatment is advocate in young patients with advanced disease. Surgical resection was the mainstay of treatment in absence of systemic metastasis. Terminally ill patients were treated by palliative measures like feeding jejunostomy / stenting.