Esophageal cancer physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with esophageal cancer is usually unremarkable. | Physical examination of patients with esophageal cancer is usually unremarkable, unless the disease has metastasized, in which case cervical [[lymphadenopathy]] and [[jaundice]] may be seen. | ||
==Physical examination== | ==Physical examination== | ||
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===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with esophageal cancer is usually normal. | * HEENT examination of patients with esophageal cancer is usually normal. | ||
* Icteric sclera may be noted with hepatic metastasis. | * [[Jaundice|Icteric sclera]] may be noted with hepatic metastasis. | ||
* [[Purulent]] exudate from the nares with facial tenderness and swelling may be noted with mediastinal and oropharyngeal metastasis. | * [[Purulent]] exudate from the nares with facial tenderness and swelling may be noted with mediastinal and oropharyngeal metastasis. | ||
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*Pulmonary examination of patients with esophageal cancer is usually normal. | *Pulmonary examination of patients with esophageal cancer is usually normal. | ||
*Asymmetric chest expansion and lung hypo-resonance may be noted with mediastinal invasion. | *Asymmetric chest expansion and lung hypo-resonance may be noted with mediastinal invasion. | ||
===Heart=== | ===Heart=== | ||
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**A palpable abdominal mass | **A palpable abdominal mass | ||
**[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]] | **[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]] | ||
===Back=== | ===Back=== | ||
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===Neuromuscular=== | ===Neuromuscular=== | ||
*Neuromuscular examination of patients with esophageal cancer is usually normal. | *Neuromuscular examination of patients with esophageal cancer is usually normal. | ||
*Vocal cord paralysis may occur with metastasis | *Vocal cord paralysis may occur with metastasis. | ||
===Extremities=== | ===Extremities=== | ||
Latest revision as of 16:19, 5 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Physical examination of patients with esophageal cancer is usually unremarkable, unless the disease has metastasized, in which case cervical lymphadenopathy and jaundice may be seen.
Physical examination
Patients with esophageal cancer typically have normal physical examinations, unless the disease has metastasized.[1]
Appearance of the Patient
- Patients with esophageal cancer usually appear fatigued.
Vital Signs
- Low-grade fever
Skin
- Skin examination of patients with esophageal cancer is usually normal.
- Jaundice of the skin may be noted with hepatic metastasis.
HEENT
- HEENT examination of patients with esophageal cancer is usually normal.
- Icteric sclera may be noted with hepatic metastasis.
- Purulent exudate from the nares with facial tenderness and swelling may be noted with mediastinal and oropharyngeal metastasis.
Neck
- Neck examination of patients with esophageal cancer is usually normal.
- Cervical lymphadenopathy is may be seen with metastasis.
Lungs
- Pulmonary examination of patients with esophageal cancer is usually normal.
- Asymmetric chest expansion and lung hypo-resonance may be noted with mediastinal invasion.
Heart
- Cardiovascular examination of patients with esophageal cancer is usually normal.
Abdomen
Abdominal examination of patients with esophageal cancer is usually normal.
- The following may be seen with hepatic metastasis:
- Abdominal distention
- A palpable abdominal mass
- Hepatomegaly / splenomegaly / hepatosplenomegaly
Back
- Back examination of patients with esophageal cancer is usually normal.
Neuromuscular
- Neuromuscular examination of patients with esophageal cancer is usually normal.
- Vocal cord paralysis may occur with metastasis.
Extremities
- Extermities examination of patients with esophageal cancer is usually normal.
References
- ↑ López F, Rodrigo JP, Silver CE, Haigentz M, Bishop JA, Strojan P, Hartl DM, Bradley PJ, Mendenhall WM, Suárez C, Takes RP, Hamoir M, Robbins KT, Shaha AR, Werner JA, Rinaldo A, Ferlito A (2016). "Cervical lymph node metastases from remote primary tumor sites". Head Neck. 38 Suppl 1: E2374–85. doi:10.1002/hed.24344. PMC 4991634. PMID 26713674.