summer slump sale Save up to 40% today
Medicine (MD/DO)
Esophageal Disorders
Esophageal Squamous Cell Carcinoma Diagnosis and Management

Master Esophageal Squamous Cell Carcinoma Diagnosis and Management with Picmonic for Medicine

With Picmonic, facts become pictures. We've taken what the science shows - image mnemonics work - but we've boosted the effectiveness by building and associating memorable characters, interesting audio stories, and built-in quizzing.

Esophageal Squamous Cell Carcinoma Diagnosis and Management

Recommended Picmonics

picmonic thumbnail
Esophageal Squamous Cell Carcinoma Risk Factors and Presentation
picmonic thumbnail
Esophageal Adenocarcinoma Characteristics and Presentation
picmonic thumbnail
Barrett's Esophagus
picmonic thumbnail
Gastroesophageal Reflux Disease (GERD) Assessment
picmonic thumbnail

Esophageal Squamous Cell Carcinoma Diagnosis and Management

Sarcophagus Square-mouse and Tumor Guys with Manager and Diagnosis Computer
Esophageal squamous cell carcinoma is primarily diagnosed by endoscopy with biopsy. A barium swallow can also be used, and will reveal a classic "apple core" appearance. Ultrasound and CT are other imaging modalities that can be used for diagnosis. Chemotherapy with radiation can be used for high grade, metastatic lesions whereas surgery is indicated for lesions confined to the esophagus or with minimal invasion. Complications include esophageal stenosis and tracheoesophageal fistula. Unfortunately, this disease has a poor prognosis.
Endoscopy with Biopsy
Endoscopy and Biopsy-needle

Endoscopy is mandatory and is used to visualize the neoplasia as well as to obtain a biopsy sample.

Barium Swallow
Swallow with Berries

A barium swallow is typically performed first in the workup for this type of neoplasia.

"Apple Core" Appearance
Apple Cores

On a barium swallow, the imaging findings resemble an apple core. This occurs because the tumor invades the esophageal lumen creating a narrow path for the barium to progress. The "core" shows the barium that has progressed through the narrow lumen and the darker shaded part shows the surrounding tumor.


Endoscopic ultrasound is often used for staging.

CT Scan
Cat Scanner

A CT scan is used to evaluate the characteristics of the neoplasia, the degree of invasion into the surrounding tissues, and the presence of distant metastases. These factors ultimately help in staging the tumor.

Chemotherapy and Radiation
Chemo-head-wrap and Radiation-radio

Chemotherapy and Radiation are used to treat this neoplasm. Chemotherapeutic regimen varies from patient to patient. Locally metastatic disease is typically managed with 5-fluorouracil in combination with radiation.


Surgical resection is the only definitive treatment in cases in which the disease is localized only to the esophagus or minimally invasive.

Esophageal Stenosis
Esophagus-Sarcophagus Stone Stenosis

Esophageal stenosis is a serious complication of long-standing inflammation since the tumor invades both the cell layers lining the esophagus as well as its lumen.

Tracheoesophageal Fistula (TEF)
Trachea-sarcophagus Fist-tunnel

The tumor can invade adjacent tissues such as the trachea or even the bronchi. As barriers are eroded, fistulae can develop. Clinical signs of TEF include dry cough and hemoptysis.

Poor Prognosis

The prognosis is typically grave. Patients typically present in advanced stages of the disease and the five year survival rate is estimated to be between 5-20%.


Take the Esophageal Squamous Cell Carcinoma Diagnosis and Management Quiz

Picmonic's rapid review multiple-choice quiz allows you to assess your knowledge.

It's worth every penny

Our Story Mnemonics Increase Mastery and Retention

Memorize facts with phonetic mnemonics

Unforgettable characters with concise but impactful videos (2-4 min each)

Memorize facts with phonetic mnemonics

Ace Your Medicine (MD/DO) Classes & Exams with Picmonic:

Over 1,900,000 students use Picmonic’s picture mnemonics to improve knowledge, retention, and exam performance.

Choose the #1 Medicine (MD/DO) student study app.

Picmonic for Medicine (MD/DO) covers information that is relevant to your entire Medicine (MD/DO) education. Whether you’re studying for your classes or getting ready to conquer the USMLE Step 1, USMLE Step 2 CK, COMLEX Level 1, or COMLEX Level 2, we’re here to help.

Works better than traditional Medicine (MD/DO) flashcards.

Research shows that students who use Picmonic see a 331% improvement in memory retention and a 50% improvement in test scores.