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Oesophageal cancer — PARA MCQ

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ModerateSurgery - Upper gastrointestinalOesophageal cancerPARA

A 64-year-old man has progressive dysphagia, initially to solids then liquids, with 9 kg weight loss and iron-deficiency anaemia. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Urgent upper gastrointestinal endoscopy on a suspected cancer pathway

Progressive dysphagia with weight loss and iron-deficiency anaemia is a red-flag presentation for oesophageal cancer requiring urgent endoscopy.

Reference: NICE NG12: Suspected cancer; NICE CKS: Dysphagia