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See your GP if you experience symptoms of oesophageal cancer. They will carry out an initial assessment and decide whether you need to have any further tests.
Your GP may:
If your GP thinks you need to have some tests, they can refer you to a hospital specialist. This will usually be a gastroenterologist (specialist in conditions affecting the digestive system).
The tests your gastroenterologist may recommend are described below.
The two main tests used to diagnose oesophageal cancer are:
An endoscopy is a procedure that allows your doctor to see inside your oesophagus so they can check for cancer.
A thin, flexible tube with a light and camera at the end (an endoscope) is passed into your mouth and down towards your stomach.
Small samples of tissue are also removed from your oesophagus so they can be checked for cancer under a microscope. This is called a biopsy.
You'll be awake while an endoscopy is carried out. It shouldn't be painful, but may be a bit uncomfortable.
You'll normally be given local anaesthetic to numb your throat and possibly a sedative to help you relax.
A barium swallow or barium meal involves drinking a harmless white liquid called barium before several X-rays are taken.
The barium coats the lining of your oesophagus so it shows up on the X-ray. This can show whether there's anything blocking your oesophagus, which may be a sign of cancer.
This test isn't used to diagnose oesophageal cancer very often nowadays because the best way to confirm a diagnosis is to use tissue samples taken during an endoscopy.
If you have oesophageal cancer, further tests will be recommended to determine how far the cancer has spread – known as called the "stage". See below for more information about this.
These tests may include:
The most widely used system for staging oesophageal cancer is the TNM system. This involves scoring the cancer in three categories:
Scores for each category are then often used in a simpler number system, ranging from stage 1 (early cancer) to stage 4 (advanced cancer).
Knowing the stage of your cancer will help your care team work out the best treatment for you. Read more about treatments for oesophageal cancer.
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