I copied some text off the web. Both terms are accurate, but have different meanings. zac [Dissing Zachary (pdx1zbd)] Dysphagia: The most common symptom of esophageal cancer is dysphagia (difficulty swallowing with the sensation of food getting stuck in the throat or chest). The opening of the esophagus must narrow to about half of its normal width to cause this symptom. Therefore, dysphagia is commonly a late symptom caused by a large cancer that might not be curable. When swallowing becomes difficult, people often change their diet and eating habits without realizing it. They will chew their food more carefully and slowly. As the cancer continues to grow, however, this will stop working and they will start to eat softer foods that pass through the esophagus more easily. The foods that typically get stuck are bread and meat. The inability to swallow may lead some people to avoid solid food completely and eat a liquid diet. Eventually, even liquids will not be able to pass. To help pass food through the esophagus, the body will make more saliva. This causes some people to complain of bringing up lots of thick mucus or saliva. Finding high-grade dysplasia (meaning that the cells appear more abnormal) is particularly worrisome. If high-grade dysplasia is found, surgery to remove the area of Barrett's esophagus is recommended, unless the patient is in poor health and unable to withstand the operation. Surgery is recommended because of the high risk that an adenocarcinoma is already present (but was not detected by endoscopy) or will develop within a few years. About one-third to one-half of people with Barrett's esophagus and high-grade dysplasia diagnosed by endoscopic biopsy actually have a cancer that was not apparent during this examination. The prognosis for these patients is relatively good. This monitoring strategy can help detect cancers early, at a time when they are more likely to respond to treatment. -----Original Message----- From: Dissing Zachary (pdx1zbd) [mailto:pdx1zbd@xxxxxxx] Sent: Thursday, March 06, 2003 4:03 PM To: mmfa_02cap@xxxxxxxxxxxxx Subject: [mmfa_02cap] Re: little mistakes... mountains or molehills?! I'll claim that mistake. We need to make the corrections. As of last night the surgery section wasn't in the interface. So, we need to make sure this is corrected before the text is input. Sorry for the screw up, Zac -----Original Message----- From: Molly Stack [mailto:mmstack@xxxxxxxxxxx] Sent: Thursday, March 06, 2003 3:52 PM To: mmfa_02cap@xxxxxxxxxxxxx Subject: [mmfa_02cap] little mistakes... mountains or molehills?! Do't know if anyone cares at this point, but I just realised as I was editing my voice over stuff that in the Esophagectomy readings, there is "high-grade dysplasia" in the first paragraph and then under the Laparoscopic section "high-grade dysphagia" is used. I thought maybe I had read it wrong but alas I was reading it as-is...see how much I don't cognit what I'm reading when I do this kind of work? Do we care at this point (I'd have to set it all up again to correct it and don't know if I have the time... which is the correct term anyhow?) or do we just want to change the type to go with the voice? Or do we forget it all together? Molly | | Molly Stack | | 503.544.1556 | | Portland,OR _____ MSN 8 helps ELIMINATE E-MAIL <http://g.msn.com/8HMLENUS/2752> VIRUSES. Get 2 months FREE*.