食道癌發病於食道,食道是將食物和液體從喉嚨送到胃部的肌肉管道。在新加坡,食道癌較胃癌或大腸癌為少見,但病例卻持續增加。主要有兩種類型:鱗狀細胞癌 (在亞洲較常見,通常與吸煙、喝酒和飲食有關) 和腺癌 (與肥胖和反流疾病有關)。
Esophageal cancer is relatively uncommon compared to breast, colorectal, and lung cancers but it remains a serious disease because many patients are diagnosed at an advanced stage. According to the GLOBOCAN 2020 data, Singapore recorded around 48,639 new cancer cases across all types. Esophageal cancer contributed a small proportion of these, but still accounted for hundreds of new cases each year. Mortality is high, as patients often present late — a trend seen across many Asian countries, where over 80% of global cases occur.
新加坡並沒有食道癌的全國例行篩檢計畫。不過,可能會建議高風險族群進行篩檢:
對於這些族群,上段內視鏡(食道胃十二指腸內視鏡或 EGD)是檢測早期病變或癌前病變的最可靠方法。在某些情況下,可能會使用先進的造影技術和活檢來確認結果。
局限於內膜的癌症
擴散至肌肉壁,也可能擴散至附近的淋巴結
更深的侵襲和更廣泛的淋巴結受累
癌症已擴散至遠端器官(肝臟、肺、骨骼)
治療方式取決於階段、類型和患者的健康狀況。選項包括
在新加坡,主要的癌症中心都有提供治療,包括現代化的放射治療、先進的手術和系統治療選擇。
In Singapore, our team brings together medical oncologists, upper GI surgeons, radiation specialists, radiologists, pathologists, oncology nurses, and allied health experts. They work closely to design a treatment plan tailored to each patient’s needs.