Hematemesis is not the most common symptom of: (A) Esophageal varices, (B) Gastric ulcer, (C) Carcinoma esophagus, (D) Zollinger Ellison syndrome
Answer is C. Clinical features of Carcinoma esophagus Early stage cancers: Asymptomatic or mimic symptoms of GERD MC symptom : Dysphagia >Weight loss Most patients with esophageal cancer present with dysphagia and weight loss, symptoms that usually indicate advanced disease Choking, coughing and aspiration from a tracheoesophageal fistula (In advanced cases) Hoarseness and vocal cord paralysis from direct invasion into the recurrent laryngeal nerve (In advanced cases) MC site of metastasis : Liver>lung>bone Paraneoplastic manifestation associated with adenocarcinoma : Motor neuropathy Ref: Sabiston 20th edition Pgno : 1038