<s>[INST] Hello Doctor        I"ve just been diagnosed with malignant tumor on lower esophagus(small in size) Have not had petyet.But trying to prepare aplan. Realisticaly how painful and uncomfortable.Is the dying process and does the removal of esophagus include voicebox.I know its early in the treatment but worse case physical dramafor the future would be appreciated.                                                                greatfully cw2 Paul l johnson army aviation(disabled) [/INST] Hello, Salute to the spirit of fighting the battle of life. Where there is a will there is a way, you must be having the best outcomes. Treatment of malignant tumor of esophagus definitely involves surgery (if operable) with follow-up chemo and/or radiotherapy for the same. It does not involve voice box removal in the majority of cases. Hope I have answered your query. Let me know if I can assist you further. </s>