Male patient, 29 years old, has felt obstruction and pain when eating for the past month. Could it be esophageal cancer? I also feel pain in the posterior shoulder blade. Could it be related to cancer? From the analysis of symptoms, it is a manifestation of esophageal cancer. Back pain may be a manifestation of bone metastasis of esophageal cancer, but further examination is needed for diagnosis. It is recommended to perform puncture biopsy, CT and pathological examination for diagnosis. In the late stage of esophageal cancer, bone metastasis often occurs, and the main route of metastasis is hematogenous metastasis. In the late stage of esophageal cancer, if it is not treated properly and the care is not good, the cancer cells of most patients will spread and metastasize. The most common clinical phenomenon is bone metastasis of esophageal cancer. The typical symptoms of esophageal cancer bone metastasis are: 1. Progressive local bone pain and percussion pain, which affect the patient's motor function but are not life-threatening in the short term; 2. Often accompanied by anemia , fever, bleeding, and a few may have local masses or concurrent pathological fractures;3. Nodules on the skin and linea alba, and enlarged inguinal lymph nodes. The main symptom of bone metastasis in the late stage of esophageal cancer is pain. If anti-tumor treatment is not carried out, the disease will further develop and bone marrow metastasis, liver metastasis, brain metastasis, etc. will occur, and the critical period of life will come. In addition, the main symptoms of esophageal cancer in the late stage include: hiccups and difficulty swallowing. And because of the difficulty in eating, patients may suffer from malnutrition and appear weight loss, anemia, dehydration or cachexia, body pain and other signs, and may also have symptoms such as jaundice and ascites. |
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