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Oesophageal cancer — MCCQE Part 1 MCQ

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EasySwallowing DifficultyOesophageal cancerMCCQE Part 1

A 70-year-old man with 40-pack-year history has progressive dysphagia (solids to liquids) and 8kg weight loss x 4 months. Barium: irregular mid-oesophageal stricture. Most appropriate next step?

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Correct answer: B — Upper endoscopy with biopsy

Progressive dysphagia + weight loss + risk factors = oesophageal cancer red flags. Endoscopy with biopsy for tissue diagnosis. SCC associated with smoking/alcohol; adenoCA with Barrett's/GERD.

Reference: CAG Dysphagia Guidelines