Carcinoma esophagus and Homoeopathy – Esophageal Cancer

Cancer of the esophagus remains a devastating disease because it is usually not detected until it has progressed to an advanced incurable stage. Modern imaging techniques, including barium esophagraphy, contrast-enhanced computed tomography (CT), magnetic resonance imaging (MRI), endoscopic ultrasonography (EUS), and positron-emission tomography (PET), are powerful tools in the detection, diagnosis, and staging of this malignancy.

Early detection remains the elusive but essential goal of research. Only surgical resection at a very early stage has been shown to improve survival rates in patients with this disease.

SYNONYM(S)
Barrett’s carcinoma.
Adenocarcinoma of esophagus

Location
Columnar mucosa above the gastroesophageal junction

HOW COMMON
In past decades has markedly increased in incidence in Caucasian males. In North America and Europe is almost as common as squamous cell cancer of esophagus.

AGE
Usually occurs past the age of 40.

SEX
Predominantly male.

ANATOMIC LOCATION
Usually lower esophagus.

CLINICAL INFORMATION
Most esophageal adenocarcinomas arise in Barrett’s esophagus. Many adenocarcinomas presumed to be originating from the gastric cardia, may actually be arising in a short-segment Barrett’s esophagus. Only about half of patients relate symptoms of chronic gastroesophageal reflux.

RADIOLOGIC APPEARANCE
Highly variable. May present as stricture, ulcer or polypoid mass.

Histology
Same morphologic range as adenocarcinoma of the stomach, from well differentiated adenocarcinoma with relatively uniform gland formation to poorly differentiated tumors with only focal gland formation and/or mucin formation. Signet ring cell carcinoma may also occur

BEHAVIOR
Major prognostic factor is clinical stage. The majority of tumors present in late stage, hence poor overall survival.

Rahisa Bano F 50 13620 / Ca Oesophagus

P/C Regurgitation of food.
Dysphagea.
Marked debility.
Fear of death due to awareness about disease.

H/O Rich spicy food.
Beetle chewing.
Tobacco.
Three abortions.
Herpes Zoster few years back.

Desire Sweets
Warm Food

Aversion Alone being

Diagnosis Ca esophagus lower third advanced stage.

Please see attached report-
Biopsy at Jaswant Rai Speciality Hospital
12-12-2003

The esophageal specimen shows hypercellular epithelium and loss of nuclear polarity. Pleomorphic nuclei, predominantly enlarged, with marked hyperchromasia, chromatin clearing and clumping, mitoses, and prominent nucleoli are also marked. Crowded irregular glands, possibly with luminal infoldings and possibly villiform surface are evident.

Impression- Barrett’s esophagus with high-grade dysplasia.

Rubrics
S. No Intensity Rubric No. of Remedies
1 3 THROAT – CANCER – Esophagus 7
2 1 GENERALS – CACHEXIA 46
3 3 GENERALS – CANCEROUS affections 177
4 1 GENERALS – CANCEROUS affections – cachectic emaciation; with 7
5 2 GENERALS – CANCEROUS affections – advanced stage 32
6 2 GENERALS – CANCEROUS affections – epithelioma 72
7 1 THROAT – SWALLOWING – difficult 262
8 1 THROAT – SWALLOWING – impossible 87
9 2 THROAT – SWALLOWING – impossible – constriction of esophagus 11

Repertorization
phos. hydr. con. lyc. phyt. alum. alumn. arg-met. cic. thuj.
15 12 11 10 10 9 9 9 9 9
1 1 2 1 – – – – – –
2 1 – – 1 – – 1 – 1
3 2 3 3 3 1 1 1 2 2
4 – 2 – – – – – – – 1
1 1 1 1 – 1 – – 1 – –
1 1 2 3 3 2 1 1 1 1 1
3 1 – 1 2 2 2 2 2 2 1
8 2 – – 2 1 2 2 – 2 1
9 3 – – – – 2 2 – 2 –

Potential Differential Field
On basis of mentals and desire- aversions – Lyco

First Prescription
21-01-2004
Lycopodium 200 Alternate day
Hydrastis Q TDS

Second Prescription
06-02-2004
Regurgitation same though general betterment.
Phosphorus 1 M one dose.
SL TDS

Third Prescription
16-03-2004
Marked improvement.
SL continued.

Third Prescription
29-04-2004
Asymptomatic
No medicine
Biopsy at Reliable Pathology

Please see the attached report
06-05-2004

The specimen sent as esophageal piece shows features of necrosed tissue with shriveled cells. Some cells show hypercellularity to mild degree. No pleomorphism seen in different neucli except hyperchromatism in someones.

Impression- faint to mild degree of dysplasia showing necrosis and hypocellular epithelium.

Result
The regression of the carcinoma with necrosis of the cancer cells.


1 thought on “Carcinoma esophagus and Homoeopathy – Esophageal Cancer”

  1. I can fell that my esophagus has tightened at that time if eat anything I vomit and there is trapped gas which gives more trouble can you help me thanks.

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