SAGES Web Quiz #27 -- Esophageal Cancer

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1. A 65-year-old female presents with a 2-month history of dysphagia. A barium swallow result is shown. What should be the next evaluation?

a) Upper endoscopy
b) Computed tomography of chest
c) HIDA scan
d) PET scan
e) Don't Know

2. The endoscopy was performed and demonstrated the following finding. Biopsy showed moderately differentiated adenocarcinoma. What diagnostic evaluation(s) can be performed to stage the disease?

a) CT of chest and abdomen
b) PET scan
c) Laparoscopic staging
d) All of the above
e) Don't Know

3. Laparoscopic staging demonstrated the following findings. Biopsy demonstrated metastatic adenocarcinoma. What should be the next step?

a) Esophagectomy and liver resection
b) Laparoscopic evaluation only
c) Exploratory laparotomy with biopsy
d) Esophagectomy only
e) Don't Know

4. The patient complains of dysphagia to soft solids. What palliative modality should not be offered to the patient?
a) Endoscopy and dilation
b) Nd:YAG laser therapy
c) Photodynamic therapy
d) Expandable metal stent
e) Don't Know

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